Individual
DR. RADHA VENKATRAMANAN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1910 S VIRGINIA ST, SUITE 106, HOPKINSVILLE, KY 42240-3692
(270) 889-0282
(270) 887-8340
Mailing address
PO BOX 73, HOPKINSVILLE, KY 42241-0073
(270) 889-0282
(270) 887-8340
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
39289
KY
207RN0300X
Nephrology Physician
39324
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
39289
ANTHEM
KY
01
—
39324
STATE
TN
05
—
64093685
—
KY
Enumeration date
07/29/2005
Last updated
07/08/2007
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