Individual
DR. SABARI NANDI RADHAKRISHNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2727 W DR MLK BLVD STE 630, TAMPA, FL 33607-6399
(813) 397-5300
(813) 876-0590
Mailing address
PO BOX 82969, TAMPA, FL 33682-2969
(813) 866-0930
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME135641
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100018000
—
FL
01
—
JK640Z
MEDICARE
FL
01
—
LFHGM
BLUE CROSS BLUE SHIELD
FL
01
—
ME135641
MEDICAL LICENSE
FL
Enumeration date
05/28/2007
Last updated
05/22/2023
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