Individual
DR. JAY RADHAKRISHNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9191 PINECROFT, SUITE 200, THE WOODLANDS, TX 77380
(936) 273-7700
(800) 417-8187
Mailing address
9191 PINECROFT, SUITE 200, THE WOODLANDS, TX 77380
(936) 273-7700
(800) 417-8187
Taxonomy
Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
L2573
TX
2085R0202X
Diagnostic Radiology Physician
L2573
TX
2085R0202X
Diagnostic Radiology Physician
M-2205
GU
2085R0204X
Vascular & Interventional Radiology Physician
Primary
L2573
TX
Other
Enumeration date
06/24/2006
Last updated
04/09/2021
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