Individual
DR. JAYDEEP KUMAR RADHAKRISHNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1435 BROADMOOR BLVD, SUGAR HILL, GA 30518
(404) 365-0966
Mailing address
3495 PIEDMONT RD NE, NINE PIEDMONT CENTER, ATLANTA, GA 30305-1717
(404) 364-7070
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
57-014665
OH
207Q00000X
Family Medicine Physician
Primary
66050
GA
Other
Enumeration date
08/13/2008
Last updated
10/04/2022
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