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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417978677 | NPPES |
| New Jersey | MEDICAID | 2247804 |
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