NPIMap

Organization Active NPI

Ananth Krishnan,P.a.

  • Internal Medicine Physician
  • Deland, FL
National Provider Identifier
1467758532
Registry record updated Feb 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ANANTH KRISHNAN,P.A.
Practice address
665 Peachwood Dr
Suite 2
Deland, FL 32720-0903
Phone
(386) 736-6066
Fax
(386) 738-5890
NPI assigned
Feb 7, 2011
Last updated
Feb 7, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Ananth Krishnan, M.D.NPI 1073521902
Title
President
Phone
(386) 736-6066

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

665 Peachwood Dr
Suite 2
Deland, FL 32720-0903

Mailing address

665 Peachwood Dr
Suite 2
Deland, FL 32720-0903
Phone (386) 736-6066

Other identifiers 1

IdentifierTypeStateIssuer
260726300MedicaidFL

Other names 1

  • LAND FAMILY HEALTH CARE Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1297036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297036800000",
    "number": "1467758532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "665 PEACHWOOD DR",
            "address_2": "SUITE 2",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327200903",
            "telephone_number": "386-736-6066",
            "fax_number": "386-738-5890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "665 PEACHWOOD DR",
            "address_2": "SUITE 2",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327200903",
            "telephone_number": "386-736-6066",
            "fax_number": "386-738-5890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANANTH KRISHNAN,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-07",
        "last_updated": "2011-02-07",
        "status": "A",
        "authorized_official_last_name": "KRISHNAN",
        "authorized_official_first_name": "ANANTH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "386-736-6066",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "260726300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LAND FAMILY HEALTH CARE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Deland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.