Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | OS14743 | FL |
N | 207RC0000X | Internist - Cardiovascular Disease | OS14743 | FL |
NPI | 1366886814 |
---|---|
Provider Name | Krithika Krishnarao |
First Address | Jacksonville, FL 32224-1865 |
Second Address | Jacksonville, FL 32224-1865 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/04/2013 |
Last Update Date | 02/06/2021 |