Individual
MUTHUKUMAR RADHAKRISHNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1001 TOWSON AVE STE 400, FORT SMITH, AR 72901-4921
(479) 709-7433
(479) 709-6809
Mailing address
11001 EXECUTIVE CENTER DR STE 200, LITTLE ROCK, AR 72211-4393
(479) 709-7433
(479) 709-6809
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
E-8786
AR
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
E-8786
AR
207RP1001X
Pulmonary Disease Physician
E-8786
AR
Other
Enumeration date
07/21/2011
Last updated
07/23/2024
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