Radhakrishnan, Puthenmadam

Radhakrishnan, Puthenmadam is an individual health care provider with primary practice located at 416 Bellevue Ave Ste 207, Trenton NJ 08618-4513. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Radhakrishnan, Puthenmadam can be contacted via phone (609) 989-9801.

Contact Information

Primary practice address
416 Bellevue Ave Ste 207 Trenton NJ 08618-4513
Phone: (609) 989-9801
Fax: (609) 989-9806
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MA054930 New Jersey

Profile Details

NPI number 1417978677
LBN Legal business name Radhakrishnan, Puthenmadam
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 22nd, 2006
Last updated May 14th, 2021 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417978677 NPPES
New Jersey MEDICAID 2247804

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