Individual
RADHAKRISHNA JANARDHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1421 S PARK ST, MADISON, WI 53715-2178
(608) 441-6888
Mailing address
301 S BEDFORD ST STE 1, MADISON, WI 53703-3691
(314) 560-7057
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
56746-20
WI
208D00000X
General Practice Physician
56746-20
WI
390200000X
Student in an Organized Health Care Education/Training Program
2008021980
MO
Other
Enumeration date
07/26/2008
Last updated
04/02/2018
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