Organization Active NPI

Krishan Nadga, Inc

  • Internal Medicine Physician
  • Winter Park, FL
National Provider Identifier
1609528017
Registry record updated Jan 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
KRISHAN NADGA, INC
Practice address
2020 W Fairbanks Ave
Winter Park, FL 32789-4522
Phone
(407) 948-9306
NPI assigned
Jan 26, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2022

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

Authorized official

Name
Dr. Krishan Nagda, MD
Title
Ceo
Phone
(407) 948-9306

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

2020 W Fairbanks Ave
Winter Park, FL 32789-4522

Mailing address

1954 Bridgewater Dr
Lake Mary, FL 32746-6907

Other names 1

  • brevard inpatient consultants Doing business as

National Provider Directory

National Provider Directory

Locations

2020 W Fairbanks Ave
Winter Park, FL 32789
Phone (407) 948-9306

NPI Registry JSON

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

{
    "created_epoch": "1643155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643155200000",
    "number": "1609528017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1954 BRIDGEWATER DR",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327466907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 W FAIRBANKS AVE",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327894522",
            "telephone_number": "407-948-9306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISHAN NADGA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-26",
        "last_updated": "2022-01-26",
        "certification_date": "2022-01-26",
        "status": "A",
        "authorized_official_last_name": "NAGDA",
        "authorized_official_first_name": "KRISHAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "407-948-9306",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "brevard inpatient consultants",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winter Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2022; 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.