Active NPIIndividual provider

Dr. Puthenmadam Radhakrishnan, MD

Pediatrics in Trenton, New Jersey

NPI Number1417978677
Practice location
416 Bellevue Ave, Ste 207, Trenton, NJ 08618-4513
Fax
609-989-9806
Last updated
May 14, 2021

Puthenmadam Radhakrishnan is a Pediatrics based in Trenton, NJ. Puthenmadam Radhakrishnan practices in Trenton, NJ and has the professional credentials of MD. The NPI Number for Puthenmadam Radhakrishnan is 1417978677 and holds a License No. ma054930 (NJ). The current practice location address for Puthenmadam Radhakrishnan is 416 Bellevue Ave, Ste 207, Trenton, NJ 08618-4513 and can be reached out via phone at 609-989-9801 and via fax at 609-989-9806.

Provider Profile Details

NPI Number
1417978677
Provider Name
Puthenmadam Radhakrishnan
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
416 Bellevue Ave, Ste 207, Trenton, NJ 08618-4513
Phone Number
609-989-9801
Fax Number
609-989-9806
Primary Taxonomy
Pediatrics · 208000000X
Sole Proprietor
No
Provider Enumeration Date
July 22, 2006
Last Update Date
May 14, 2021
Certification Date
May 14, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
416 Bellevue Ave
Ste 207
Trenton, NJ 08618-4513
Zip
08618-4513
Phone Number
609-989-9801
Fax Number
609-989-9806
Trenton, NJ 08618Get directions →

Provider Business Mailing Address Details

Address
3131 Princeton Pike
Bldg 5 Suite 208
Lawrenceville, NJ 08648
City
Lawrenceville
State
NJ
Zip
08648
Phone Number
609-815-7829

License Information

License Number
ma054930
License State
NJ
Taxonomy
Pediatrics · 208000000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Puthenmadam Radhakrishnan, MD?

The NPI number of Dr. Puthenmadam Radhakrishnan, MD is 1417978677. It was assigned on July 22, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Puthenmadam Radhakrishnan, MD?

Dr. Puthenmadam Radhakrishnan, MD is registered under the primary taxonomy Pediatrics (code 208000000X), licensed in NJ under license number ma054930.

Where does Dr. Puthenmadam Radhakrishnan, MD practice?

The practice location is 416 Bellevue Ave, Ste 207, Trenton, NJ 08618-4513. The office can be reached at 609-989-9801 (phone) or 609-989-9806 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1417978677 directly on the NPPES registry website.

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