MEDICARE: DR. KRISHNAN E PARAYATH MD

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	207RI0200X	Infectious Disease Physician	ME83948	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1972568624
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KRISHNAN E PARAYATH MD

Provider Business Mailing Address
First Line	:	5670 54TH AVE N
Second Line	:	SUITE A-1
City	:	KENNETH CITY
State	:	FL
Zip	:	33709-2068
Country	:	US
Telephone Number	:	727-548-0260
Fax Number	:	727-548-0270

Provider Business Practice Location Address
First Line	:	5670 54TH AVE N
Second Line	:	SUITE A-1
City	:	KENNETH CITY
State	:	FL
Zip	:	33709-2068
Country	:	US
Telephone Number	:	727-548-0260
Fax Number	:	727-548-0270

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

Provider Enumeration Date	:	04/18/2006
Last Update Date	:	07/08/2007

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