MEDICARE: NANDITA KRISHNA

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
1	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1336077429
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NANDITA KRISHNA

Provider Business Mailing Address
First Line	:	PO BOX 11247
Second Line	:
City	:	BERKELEY
State	:	CA
Zip	:	94712-2247
Country	:	US
Telephone Number	:	510-981-3262
Fax Number	:

Provider Business Practice Location Address
First Line	:	150 HARBOUR WAY
Second Line	:
City	:	RICHMOND
State	:	CA
Zip	:	94801-3554
Country	:	US
Telephone Number	:	510-981-3262
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/11/2026
Last Update Date	:	05/11/2026

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Directions to “ NANDITA KRISHNA ” Practice Location

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