| NPI | 1093093619 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2011-07-31 |
| Last Updated | 2025-08-07 |
| Mailing Address | Po Box 102222 Atlanta, GA 30368-2222 United States Phone: (239) 432-8500 📍 View Map |
| Primary Practice Address | 61 Memorial Medical Pkwy Ste 2818 Palm Coast, FL 32164-5999 United States Phone: (386) 586-2889 | Fax: (386) 286-2890 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | FL | 115729300 | — |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 207RH0003X – Internal Medicine, Hematology & Oncology | AZ | 78123 |
| No | 207RH0003X – Internal Medicine, Hematology & Oncology | WA | MD61116309 |
| No | 207RX0202X – Internal Medicine, Medical Oncology | ND | 14498 |
| Yes | 207RH0003X – Internal Medicine, Hematology & Oncology | WI | 82510 |
| No | 207RX0202X – Internal Medicine, Medical Oncology | FL | ME159209 |
| No | 207R00000X – Internal Medicine | OH | 123669 |
| No | 207RH0000X – Internal Medicine, Hematology | ND | 14498 |
| No | 207RH0000X – Internal Medicine, Hematology | FL | ME159209 |
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About NPI 1093093619
Madhu Unnikrishnan MBBS is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1093093619. The primary specialty listed is Internal Medicine, Hematology & Oncology. The provider is located in Palm Coast, FL. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2011-07-31. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1093093619?
NPI 1093093619 belongs to Madhu Unnikrishnan MBBS, a Internal Medicine, Hematology & Oncology in Palm Coast, FL. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1093093619 active?
The current status of NPI 1093093619 in the NPPES registry is Active. The record was last updated on 2025-08-07.
What specialty is NPI 1093093619?
NPI 1093093619 is classified under the taxonomy Internal Medicine, Hematology & Oncology. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1093093619?
You can verify NPI 1093093619 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1093093619?
The primary practice address on file for NPI 1093093619 is 61 Memorial Medical Pkwy Ste 2818, Palm Coast, FL 32164-5999. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1093093619 issued?
NPI 1093093619 was first issued (enumerated) on 2011-07-31. The NPPES record was last updated on 2025-08-07.
Practice Location Map
Madhu Unnikrishnan is located at 61 Memorial Medical Pkwy Ste 2818, Palm Coast, FL. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Madhu Unnikrishnan. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1093093619. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Internal Medicine, Hematology & Oncology | 78123 | AZ |
| Internal Medicine, Hematology & Oncology | MD61116309 | WA |
| Internal Medicine, Medical Oncology | 14498 | ND |
| Internal Medicine, Hematology & Oncology | 82510 | WI |
| Internal Medicine, Medical Oncology | ME159209 | FL |
| Internal Medicine | 123669 | OH |
| Internal Medicine, Hematology | 14498 | ND |
| Internal Medicine, Hematology | ME159209 | FL |