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General NPI Number Information
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NPI Number | 1205023256
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Entity Type | Individual
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Provider Name | RITESHA S KRISHNAPPA M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/03/2007
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Last Update Date | 08/04/2025
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Provider Practice Location Address
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Address Line | 30A VREELAND RD STE 304
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City | FLORHAM PARK
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State | NJ
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Zip | 07932-1904
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Country | US
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Telephone | 973-270-9881
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Fax | 973-270-9236
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Provider Business Mailing Address
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Address Line | 1200 MORRIS TPKE STE 3005
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City | SHORT HILLS
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State | NJ
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Zip | 07078-2766
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Country | US
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Telephone | 312-231-2617
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 266574
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 25MA11388700
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License Number State | NJ
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