Individual
SHREE LATA RADHAKRISHNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7450 S MASON MONTGOMERY RD UNIT 200, MASON, OH 45040-8080
(513) 585-2410
(513) 792-7807
Mailing address
7450 S MASON MONTGOMERY RD UNIT 200, MASON, OH 45040-8080
(513) 585-2410
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2014016519
MO
207R00000X
Internal Medicine Physician
270227
MA
207RC0000X
Cardiovascular Disease Physician
Primary
35.142755
OH
Other
Enumeration date
06/11/2014
Last updated
09/03/2024
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