Individual
MAGNA RADHAKRISHNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 WASHINGTON ST, BOX # 1013, BOSTON, MA 02111-1552
(617) 636-5000
Mailing address
800 WASHINGTON ST, BOX # 1013, BOSTON, MA 02111-1552
(617) 636-5000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
45043
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3013162
—
MA
Enumeration date
08/30/2006
Last updated
10/22/2014
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