Individual
DR. KARTHIK KRISHNAMURTHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
37 OLD KINGS RD N, PALM COAST, FL 32137-8227
(904) 541-0315
(904) 541-0316
Mailing address
37 OLD KINGS RD N, PALM COAST, FL 32137-8227
(386) 677-9044
(386) 677-3083
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
241077
NY
207N00000X
Dermatology Physician
Primary
OS12510
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14Y1X
BCBS
FL
Enumeration date
04/14/2009
Last updated
10/19/2019
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