MEDICARE: DR. SABARI NANDI RADHAKRISHNAN MD

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
1	207V00000X	Obstetrics & Gynecology Physician	ME135641	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	JK640Z	OTHER	FL	MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	ME135641	OTHER	FL	MEDICAL LICENSE
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	LFHGM	OTHER	FL	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1841491081
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SABARI NANDI RADHAKRISHNAN MD

Provider Business Mailing Address
First Line	:	PO BOX 82969
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33682-2969
Country	:	US
Telephone Number	:	813-866-0930
Fax Number	:

Provider Business Practice Location Address
First Line	:	2727 W DR MLK BLVD STE 630
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33607-6399
Country	:	US
Telephone Number	:	813-397-5300
Fax Number	:	813-876-0590

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/28/2007
Last Update Date	:	05/22/2023

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Directions to “ DR. SABARI NANDI RADHAKRISHNAN MD” Practice Location

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