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Individual

RAVI RADHAKRISHNAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
559 GRAMATAN AVE STE 202, MOUNT VERNON, NY 10552-2156
(914) 699-2020
(914) 699-2019
Mailing address
PO BOX 15, SCARSDALE, NY 10583-0015

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
246906
NY
207WX0107X
Retina Specialist (Ophthalmology) Physician
246906
NY

Other

Enumeration date
05/28/2008
Last updated
07/18/2019
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