| Sunanda Krishna, M.d., Llc | |
|
3 Plaza Dr Suite 14 Toms River NJ 08757-3759 | |
| (732) 240-0303 | |
| (732) 240-2430 |
| Full Name | Sunanda Krishna, M.d., Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3 Plaza Dr, Toms River, New Jersey |
| Authorized Official Name and Position | Sunanda Krishna (OWNER) |
| Authorized Official Contact | 7322400303 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunanda Krishna, M.d., Llc 3 Plaza Dr Suite 14 Toms River NJ 08757-3759 Ph: (732) 240-0303 | Sunanda Krishna, M.d., Llc 3 Plaza Dr Suite 14 Toms River NJ 08757-3759 Ph: (732) 240-0303 |
| NPI Number | 1144423161 |
|---|---|
| Provider Enumeration Date | 06/07/2007 |
| Last Update Date | 01/04/2011 |
| Medicare PECOS PAC ID | 8921138090 |
|---|---|
| Medicare Enrollment ID | O20100616000482 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144423161 | NPI | - | NPPES |
| 8583901 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Sunanda Krishna |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245205145 PECOS PAC ID: 8325003312 Enrollment ID: I20041201000778 |
| Provider Name | Jayanthi Talamati |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114091949 PECOS PAC ID: 2466558341 Enrollment ID: I20070509000759 |
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