Provider Demographics
NPI:1790304822
Name:KRISHNAMURTHY, MEENAKSHI (MS, RD)
Entity Type:Individual
Prefix:
First Name:MEENAKSHI
Middle Name:
Last Name:KRISHNAMURTHY
Suffix:
Gender:F
Credentials:MS, RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2060 FELSPAR ST
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92109-3570
Mailing Address - Country:US
Mailing Address - Phone:202-549-0887
Mailing Address - Fax:
Practice Address - Street 1:4225 EXECUTIVE SQ STE 450
Practice Address - Street 2:
Practice Address - City:LA JOLLA
Practice Address - State:CA
Practice Address - Zip Code:92037-8411
Practice Address - Country:US
Practice Address - Phone:858-810-8000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-09
Last Update Date:2024-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty