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

Srividya Kannan, MD

Individual provider Family Medicine Physician · NPI 1962186833

Srividya Kannan, MD is a Family Practice in Melbourne, Florida. Qualified in 2023, 3 years ago. Works from 2 locations. Licensed in Florida.

Years since qualifying
3
Licensed in
FL
In the registry since
2023
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

8055 Spyglass Hill Rd Ste 102
Melbourne, FL 32940-8564
Phone: (321) 842-9551
Fax: (321) 842-5595
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1301 Hodges Dr, Tallahassee, FL 32308-4614 — (850) 431-5430

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence ME177886 (FL)

Record details

NPI number1962186833
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 12, 2023
Last updated in NPPESJuly 31, 2026
Certification dateJuly 31, 2026

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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