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Individual

ARCHANA RADHAKRISHNAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD, MHS

Contact information

Practice address
2215 FULLER RD, ANN ARBOR, MI 48105-2303
(734) 545-5404
Mailing address
2800 PLYMOUTH ROAD, NCRC BLDG 16, ROOM 471C, ANN ARBOR, MI 48109

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301113174
MI
207R00000X
Internal Medicine Physician
D0077198
MD
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
05/01/2009
Last updated
08/11/2017
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