Individual
DR. RADHIKA DASARAJU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
849 GREENWAY PROFESSIONAL CT, ORLANDO, FL 32824-9482
(407) 905-8827
(407) 660-1667
Mailing address
14015 EGRET TOWER DR, ORLANDO, FL 32837-6197
(407) 447-7100
(407) 447-6100
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
125053608
IL
208000000X
Pediatrics Physician
Primary
ME152421
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036124479
—
FL
05
—
036124479
—
IL
Enumeration date
06/17/2009
Last updated
06/13/2024
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