Sasankan, Krishnakanthan

Sasankan, Krishnakanthan is an individual health care provider with primary practice located at 1600 Sw Archer Rd , Gainesville FL 32610-5102. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Sasankan, Krishnakanthan can be contacted via phone (352) 265-0111.

Contact Information

Primary practice address
1600 Sw Archer Rd Gainesville FL 32610-5102
Phone: (352) 265-0111
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 193354 New York
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME161851 Florida

Profile Details

NPI number 1649269689
LBN Legal business name Sasankan, Krishnakanthan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2005
Last updated Dec 28th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649269689 NPPES
New York Other 000523039005 BC/BS
New York Other 00010157703 BC/BS
New York MEDICAID 01439409 BC/BS
New York Other 040426002481 BC/BS
New York Other 1209766 BC/BS
New York Other 143850DL BC/BS

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