Individual
DR. RADHA K KRISHNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
615 FREDERICK ST, BLUEFIELD, WV 24701-1676
(304) 325-5468
Mailing address
615 FREDERICK ST, PO BOX 1676, BLUEFIELD, WV 24701-1676
(304) 325-5468
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
10346
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
111029882
MEDICARE RAILROAD
WV
Enumeration date
03/27/2006
Last updated
05/19/2008
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