MEDICARE: DR. KRISHNA DILIP RAJADHYAKSHA 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
1	2084P0800X	Psychiatry Physician	ME101955	FL
2	101YM0800X	Mental Health Counselor	42000	MA

General Provider Information

NPI Number	:	1760571947
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KRISHNA DILIP RAJADHYAKSHA M.D.

Provider Business Mailing Address
First Line	:	1800 N BAYSHORE DR
Second Line	:	APT 3001
City	:	MIAMI
State	:	FL
Zip	:	33132-3251
Country	:	US
Telephone Number	:	508-963-4213
Fax Number	:

Provider Business Practice Location Address
First Line	:	1800 N BAYSHORE DR
Second Line	:	APT 3001
City	:	MIAMI
State	:	FL
Zip	:	33132-3251
Country	:	US
Telephone Number	:	508-963-4213
Fax Number	:

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

Provider Enumeration Date	:	10/12/2006
Last Update Date	:	08/19/2025

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