Individual
SABARINATH VENNIYIL RADHAKRISHNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-5111
(414) 805-2934
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-5111
(414) 805-2934
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
21067-875
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/23/2010
Last updated
07/21/2021
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