Healthcare Provider Details

I. General information

NPI: 1992018535
Provider Name (Legal Business Name): RADHIKA SIRIKI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/25/2010
Last Update Date: 09/23/2025
Certification Date: 09/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2351 S SEACREST BLVD STE 138
BOYNTON BEACH FL
33435-6759
US

IV. Provider business mailing address

1281 E MAIN ST
STAMFORD CT
06902-3544
US

V. Phone/Fax

Practice location:
  • Phone: 561-732-5900
  • Fax:
Mailing address:
  • Phone: 203-325-4087
  • Fax: 203-359-9941

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number053354
License Number StateCT
# 2
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License NumberME163423
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number053354
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: