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General NPI Number Information
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NPI Number | 1760372403
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Entity Type | Organization
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Legal Business Name | ADITYA RADHAKRISHNAN MD LLC
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Dates
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Enumeration Date | 07/04/2025
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Last Update Date | 07/04/2025
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Provider Practice Location Address
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Address Line | 1230 PARKWAY AVE STE 105
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City | EWING
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State | NJ
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Zip | 08628-3018
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Country | US
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Telephone | 646-494-7652
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Fax |
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Provider Business Mailing Address
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Address Line | 2107 GOLDFINCH BLVD UNIT 430
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City | PRINCETON
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State | NJ
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Zip | 08540-6875
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. ADITYA RADHAKRISHNAN
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Credential | MD
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Telephone | 646-494-7652
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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