Individual
DR. RAVI RADHAKRISHNAN
Active
Individual
DR. RAVI RADHAKRISHNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
M0534
TX
2086S0120X
Pediatric Surgery Physician
Primary
M0534
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8U9390
BCBS
TX
01
—
P00452855
RAILROAD MEDICARE
TX
Enumeration date
06/20/2006
Last updated
03/30/2012
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