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Individual

KADAKKAL R RADHAKRISHNAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
9500 EUCLID AVE # R3, CLEVELAND, OH 44195-0001
(216) 444-9322
(216) 444-2974
Mailing address
9500 EUCLID AVE # R3, CLEVELAND, OH 44195-2139
(216) 444-9322
(216) 444-2974

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
35082416
OH
2080P0206X
Pediatric Gastroenterology Physician
35082416
OH
2080T0004X
Pediatric Transplant Hepatology Physician
Primary
35082416
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2653525
OH
Enumeration date
01/29/2007
Last updated
10/28/2021
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