Individual
RAJIV RADHAKRISHNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.B.B.S., M.D.
Contact information
Practice address
300 GEORGE ST, SUITE 901, NEW HAVEN, CT 06511-6624
(203) 903-6736
Mailing address
34 PARK ST, NEW HAVEN, CT 06519-1109
(203) 974-7300
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
053223
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/15/2010
Last updated
12/18/2018
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