Radhakrishnan, Latha S
Radhakrishnan, Latha S is an individual health care provider with primary practice located at 9450 Sw Barnes Rd Ste 100 , Portland OR 97225-6642. She recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as her primary health care specialty. Radhakrishnan, Latha S can be contacted via phone (503) 292-9560.Contact Information
Primary practice address
9450 Sw Barnes Rd Ste 100
Portland OR 97225-6642
Phone: (503) 292-9560
Fax: (503) 292-9510
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | MD23902 | Oregon |
Profile Details
| NPI number | 1598787426 |
|---|---|
| LBN Legal business name | Radhakrishnan, Latha S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 23rd, 2006 |
| Last updated | Nov 29th, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598787426 | NPPES |
| Oregon | MEDICAID | 278224 |
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