DR. POOVAMBUR SUNDARESAN KRISHNAMURTHY


Address: 1020,lafeyette Street, 108, Tallahassee, FL 32301
Phone: 8506712600

DR. POOVAMBUR SUNDARESAN KRISHNAMURTHY (NPI# 1871798884) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1871798884
Entity Type Individual
Full Name DR. POOVAMBUR SUNDARESAN KRISHNAMURTHY
Credential M.D.,
Practice Address 1020,lafeyette Street
108
Tallahassee
FL 32301
Mailing Address 3776,bobbinbrookcircle
Tallahassee
FL 32312
Practice Telephone 8506712600
Mailing Telephone 8506685619
Enumeration Date 2007-06-19
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 202C00000X Independent Medical Examiner 26988 FL Allopathic & Osteopathic Physicians

Office Location

Street Address 1020,LAFEYETTE STREET
108
City TALLAHASSEE
State FL
Zip Code 32301

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Taxonomy Information

Taxonomy Code 202C00000X
Grouping Allopathic & Osteopathic Physicians
Classification Independent Medical Examiner

Taxonomy Definition

A special evaluator not involved with the medical care of the individual examinee that impartially evaluates the care being provided by other practitioners to clarify clinical, disability, liability or other case issues.
Notes: Source: American Board of Independent Medical Examiners, www.abime.org [1/1/2007: new]

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1174877559 Joshua A Perper Independent Medical Examiner 14559 Draft Horse Lane, Wellington, FL 33414 2012-11-06
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1194963454 Lawrence Wayne Shivertaker Independent Medical Examiner 2486 Shalimar Ln, Orange Park, FL 32073-6123 2009-01-25
1841443744 Lloyd Austin Tabb Independent Medical Examiner 3055 Oak Creek Drive North, Clearwater, FL 33761-1429 2008-10-23
1275730319 Roger David Scott Independent Medical Examiner 1285 Kasamada Dr, Fort Myers, FL 33919-1622 2007-07-02
1508063702 Jacob Rosensweig Independent Medical Examiner 7752 Dundee Ln, Delray Beach, FL 33446-3120 2007-06-29
1578766283 Eileen Rosen, M.d., P.a. Independent Medical Examiner 2008 Valencia Dr, Delray Beach, FL 33445-5326 2007-06-08
1679573869 Marc Steven Schneider Independent Medical Examiner 12751 S Cleveland Ave, Suite 102, Fort Myers, FL 33907-7732 2005-07-28
1225497886 Emc South Florida, LLC Independent Medical Examiner 6075 Sw 72nd St, Suite 201, South Miami, FL 33143-5000 2016-02-11
1710317490 Salvatore A Pilato Dc Pa Independent Medical Examiner 1309 S Flagler Dr, Suite 1 & 2, West Palm Beach, FL 33401-6736 2013-11-18
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Competitor

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City TALLAHASSEE
Zip Code 32301

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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