Individual
RADHA MAYURI GARIKEPATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4203 RAVENS CREST DR, PLAINSBORO, NJ 08536-1803
(786) 252-1541
Mailing address
4203 RAVENS CREST DR, PLAINSBORO, NJ 08536-1803
(786) 252-1541
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
310704
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2389688
—
LA
Enumeration date
04/15/2015
Last updated
08/20/2019
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