Individual
JAYARAM RADHAKRISHNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
50 LEROY ST, POTSDAM, NY 13676-1786
(153) 274-9102
Mailing address
50 LEROY ST, POTSDAM, NY 13676-1786
(153) 265-3300
(315) 265-2739
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
039812
CT
207RC0000X
Cardiovascular Disease Physician
Primary
239773
NY
Other
Enumeration date
10/05/2006
Last updated
03/31/2021
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