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Individual

PARVATHI RADHAKRISHNAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
140 BERGEN ST, NEWARK, NJ 07103-2425
(973) 972-9000
Mailing address
140 BERGEN ST, NEWARK, NJ 07103-2425
(973) 972-9000

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
LP04251
RI
207RI0200X
Infectious Disease Physician
1015070
MA
207RI0200X
Infectious Disease Physician
Primary
25MA12755200
NJ

Other

Enumeration date
05/22/2018
Last updated
03/31/2026
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