SUPARNA RUDRAPATNA KRISHNAIENGAR

JACKSONVILLE, FL
NPI1225178619
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2084N0600X Psychiatry & Neurology Clinical Neurophysiology
(Licence: FL  ME110927)
Additional Taxonomies2084N0400X Psychiatry & Neurology Neurology
(Licence: FL  ME110927)
2084N0600X Psychiatry & Neurology Clinical Neurophysiology
(Licence: OK  23181)
Enumeration Date2007-02-07
Last Update Date2020-04-17
Business Address
SUPARNA RUDRAPATNA KRISHNAIENGAR MD
580 W 8TH ST
JACKSONVILLE, FL 32209-6533
Phone number: 904-383-1022
Mailing Address
SUPARNA RUDRAPATNA KRISHNAIENGAR MD
PO BOX 44008
JACKSONVILLE, FL 32231-4008
Phone number: 904-383-1022