Individual
DR. BALA A KRISHNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8900 SE 165TH MULBERRY LN, THE VILLAGES, FL 32162-5884
(352) 674-5000
(352) 674-5030
Mailing address
8900 SE 165TH MULBERRY LN, THE VILLAGES, FL 32162-5884
(352) 674-5000
(352) 674-5030
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME48372
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04421
BCBS
FL
05
—
274035400
—
FL
Enumeration date
01/20/2006
Last updated
10/11/2013
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