Individual
DR. NITHYA MEENAKSHI KRISHNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
14546 OLD SAINT AUGUSTINE RD STE 100, JACKSONVILLE, FL 32258-5468
(904) 202-7300
(904) 202-7433
Mailing address
PO BOX 746654, ATLANTA, GA 30374-6654
(904) 202-2092
(904) 376-4075
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME166905
FL
207RH0000X
Hematology (Internal Medicine) Physician
ME166905
FL
207RH0003X
Hematology & Oncology Physician
0450835
KS
207RH0003X
Hematology & Oncology Physician
Primary
ME166905
FL
207RX0202X
Medical Oncology Physician
ME166905
FL
Other
Enumeration date
03/18/2018
Last updated
05/21/2025
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