Dr Puthenmadam Radhakrishnan, MD | |
416 Bellevue Ave, Ste 207, Trenton, NJ 08618-4513 | |
(609) 989-9801 | |
(609) 989-9806 |
Full Name | Dr Puthenmadam Radhakrishnan |
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Gender | Male |
Speciality | Pediatrics |
Location | 416 Bellevue Ave, Trenton, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417978677 | NPI | - | NPPES |
2247804 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
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208000000X | Pediatrics | MA054930 (New Jersey) | Primary |
Entity Name | Capital Health Multispecialty Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083072342 PECOS PAC ID: 1850689894 Enrollment ID: O20161007000162 |
Mailing Address | Practice Location Address |
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Dr Puthenmadam Radhakrishnan, MD 3131 Princeton Pike, Bldg 5 Suite 208, Lawrenceville, NJ 08648 Ph: (609) 815-7829 | Dr Puthenmadam Radhakrishnan, MD 416 Bellevue Ave, Ste 207, Trenton, NJ 08618-4513 Ph: (609) 989-9801 |
Dr. Ambreen Shariq Samad, M.D Pediatrics Medicare: Medicare Enrolled Practice Location: 112 Ewing St, Trenton, NJ 08609 Phone: 609-278-5900 Fax: 609-396-1526 | |
Venkatarao Isola, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 416 Bellevue Ave Ste 207, Trenton, NJ 08618 Phone: 609-989-9801 | |
Kemi A Alli, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 321 N Warren St, Trenton, NJ 08618 Phone: 609-278-5900 Fax: 609-695-3532 | |
Dr. Amy J Gittell, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 317 Chambers St, Trenton, NJ 08609 Phone: 609-392-2635 | |
Nassif Elias Dawlabani, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 908 W State St, Trenton, NJ 08618 Phone: 609-503-5540 Fax: 609-503-5541 | |
Mrs. Suhaila Siddiqi Hussain, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 512 Hamilton Ave, Trenton, NJ 08609 Phone: 609-394-5787 Fax: 609-394-3777 | |
Vinod K Gupta, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1871 Pennington Rd, Trenton, NJ 08618 Phone: 609-637-9707 Fax: 609-538-8031 |