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Individual

GOWRI RADHAKRISHNAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2040 W CHARLESTON BLVD STE 300, DEPARTMENT OF INTERNAL MEDICINE, LAS VEGAS, NV 89102-2244
(702) 671-2345
(702) 671-2376
Mailing address
2040 W CHARLESTON BLVD STE 300, DEPARTMENT OF INTERNAL MEDICINE, LAS VEGAS, NV 89102-2244
(702) 671-2345
(702) 671-2376

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
15820
NV
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
07/03/2012
Last updated
04/03/2019
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