Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Krishnan Ravindran, MD

Individual provider Neurological Surgery Physician · NPI 1053872739

Krishnan Ravindran, MD is a Neurosurgery in Jacksonville, Florida. Qualified in 2018, 8 years ago. Licensed in Florida.

Years since qualifying
8
Licensed in
FL
In the registry since
2019
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

836 Prudential Dr Ste 1400
Jacksonville, FL 32207-8340
Phone: (904) 388-6518
Fax: (904) 384-1005
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurological Surgery Physician (primary) Taxonomy 207T00000X · Licence ME151705 (FL)

Record details

NPI number1053872739
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 26, 2019
Last updated in NPPESJune 30, 2026
Certification dateJune 30, 2026
Mailing addressPo Box 746647, Atlanta, GA 30374-6647

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNEUROSURGERY
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Accepts Medicare assignment Not indicated

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