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NPI Code Detail

MEDICARE: COIMBOTORE RADHAKRISHNA M.D.

MEDICARE: COIMBOTORE RADHAKRISHNA M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208600000XSurgery Physician04-25371KS

General Provider Information

NPI Number : 1104843085
Entity Type Code : Individual
Provider Name (Legal Business Name) : COIMBOTORE RADHAKRISHNA M.D.
Provider Business Mailing Address
First Line : 6010 SW 34TH TER
Second Line :
City : TOPEKA
State : KS
Zip : 66614-5101
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2200 SW GAGE BLVD
Second Line :
City : TOPEKA
State : KS
Zip : 66622-0001
Country : US
Telephone Number : 785-350-4357
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/16/2006
Last Update Date : 02/22/2026

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