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NPI Code Detail

MEDICARE: DR. RADHIKA SADAGOPAN M.D.

MEDICARE:  DR. RADHIKA  SADAGOPAN  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
1208000000XPediatrics Physician2006-01825NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1578564571
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RADHIKA SADAGOPAN M.D.
Provider Business Mailing Address
First Line : 113 HATCHET CREEK CT
Second Line :
City : MORRISVILLE
State : NC
Zip : 27560-9514
Country : US
Telephone Number : 919-342-6683
Fax Number :
Provider Business Practice Location Address
First Line : 3434,KILDAIRE FARM ROAD
Second Line : SUITE 124
City : CARY
State : NC
Zip : 27518-2277
Country : US
Telephone Number : 919-362-7155
Fax Number : 919-362-7153
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/02/2005
Last Update Date : 05/20/2009

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Directions to “ DR. RADHIKA SADAGOPAN M.D.” Practice Location

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