Individual
NANDHAKUMAR RADHAKRISHNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1101 HOSPITAL DRIVE, COLUMBIA, MO 65205-7687
(573) 882-7903
(573) 884-4607
Mailing address
PO BOX 7687, COLUMBIA, MO 65212-0001
(573) 882-2259
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2011001490
MO
Other
Enumeration date
06/29/2011
Last updated
03/29/2012
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