Individual
BHARATH GOPAL RATHAKRISHNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2400 N ORANGE BLOSSOM TRL STE 204, KISSIMMEE, FL 34744-2307
(407) 932-6226
(407) 553-2177
Mailing address
2400 N ORANGE BLOSSOM TRL STE 204, KISSIMMEE, FL 34744-2307
(407) 932-6226
(407) 553-2177
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
280655
MA
207RI0011X
Interventional Cardiology Physician
Primary
163408
FL
207RI0011X
Interventional Cardiology Physician
280655
MA
207RI0011X
Interventional Cardiology Physician
Primary
ME163408
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/02/2015
Last updated
02/09/2026
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