Doctor Name: | ASHOK S KRISHNAMURTHY |
NPI Number: | 1083623565 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D |
License Number: | 042057 |
Business Practice Address: | 3904 Cortez Rd W Bradenton, FL - 342103111 |
Business Phone Number: | 9417522840 |
Business Fax Number: | 9413451951 |
Mailing Address: | Po Box 850001, Dept #217 ORLANDO |
State: | FL |
Postal Code: | 328850001 |
Phone Number: | 9417522840 |
Fax Number: | 9413451951 |
NPI Enumeration Date: | 08/05/2006 |
NPI Last Update Date: | 03/04/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 042057 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CT |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |