Individual
DR. RADHA VINNAKOTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2013 PARK AVE, SOUTH PLAINFIELD, NJ 07080-5401
(908) 753-2662
(908) 753-2633
Mailing address
6 RAVINN LN, WARREN, NJ 07059-5572
(908) 753-2662
(908) 753-2633
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
NJMA30649
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1347101
—
NJ
Enumeration date
10/03/2006
Last updated
10/04/2019
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