Individual
DR. RAVI RADHAKRISHNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
301 UNIVERSITY BLVD., GALVESTON, TX 77555-0353
(409) 772-5666
(409) 772-4253
Mailing address
301 UNIVERSITY BLVD., GALVESTON, TX 77555-0353
(409) 772-5666
(409) 772-4253
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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