Individual
BHARATHAN RADHAKRISHNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1638 OWEN DR, FAYETTEVILLE, NC 28304-3424
(910) 615-4000
Mailing address
1638 OWEN DR, FAYETTEVILLE, NC 28304-3424
(910) 615-4000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2025-02247
NC
208M00000X
Hospitalist Physician
Primary
2025-02247
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
NC
Other
Enumeration date
10/21/2021
Last updated
09/03/2025
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