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Individual
RADHIKA KOSARAJU
Active
Individual
RADHIKA KOSARAJU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036118570
IL
207R00000X
Internal Medicine Physician
5301083282
MI
207R00000X
Internal Medicine Physician
53725-020
WI
208M00000X
Hospitalist Physician
53725-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01003173
GENESEE HEALTH PLAN
MI
05
—
036118570-5
—
IL
01
—
1020379
MHP HAN
MI
01
—
110B561250
COMMUNITY BLUE
MI
01
—
17573
MCARE
MI
05
—
4855305
—
MI
01
—
CA5169 P00357911
METRAHEALTH
MI
Enumeration date
07/17/2006
Last updated
12/17/2021
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