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NPI Code Detail

MEDICARE: SUNIL KRISHNA M.D

MEDICARE: SUNIL KRISHNA M.D
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12080N0001XNeonatal-Perinatal Medicine Physician83567-20WI

General Provider Information

NPI Number : 1023424934
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUNIL KRISHNA M.D
Provider Business Mailing Address
First Line : 1 BROOKDALE PLZ
Second Line : BROOKLYN
City : BROOKLYN
State : NY
Zip : 11212-3139
Country : US
Telephone Number : 718-240-5893
Fax Number :
Provider Business Practice Location Address
First Line : 1 BROOKDALE PLZ
Second Line : BROOKLYN
City : BROOKLYN
State : NY
Zip : 11212-3139
Country : US
Telephone Number : 718-240-5893
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/11/2014
Last Update Date : 04/13/2026

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