Individual
BHARATH RADHAKRISHNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2441 SURFSIDE BLVD STE 200, CAPE CORAL, FL 33914-3861
(239) 541-7500
(239) 541-7501
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 541-7500
(239) 541-7501
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME41076
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06630300
—
FL
Enumeration date
09/30/2005
Last updated
02/18/2026
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