KADAKKAL R RADHAKRISHNAN MD NPI 1073669297

NPI Information

NPI: 1073669297
Provider Name: KADAKKAL R RADHAKRISHNAN, MD
Classification: Pediatrics - 2080T0004X
Entity Type: Individual

Specialization: Pediatric Transplant Hepatology

PECOS Registration: Yes

Address:
9500 EUCLID AVE # R3
CLEVELAND, OH
ZIP 44195
Phone: (216) 444-9322
Get Directions

Kadakkal R Radhakrishnan, MD is a pediatric transplant hepatology pediatrics in Cleveland, OH with 32 years of experience. The provider is a pediatrician with expertise in transplant hepatology encompasses the special knowledge and skill required of pediatric gastroenterologists to care for patients prior to and following hepatic transplantation; it spans all phases of liver transplantation. Kadakkal R Radhakrishnan, MD NPI is 1073669297. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

9500 EUCLID AVE # R3
CLEVELAND, OH
ZIP 44195-001
Phone: (216) 444-9322
Fax: (216) 444-2974

The NPI 1073669297 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/29/2007 and was last updated on 10/28/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2080T0004X	Pediatrics	Pediatric Transplant Hepatology	35082416	OHIO	Yes
2	208000000X	Pediatrics		35082416	OHIO	No
3	2080P0206X	Pediatrics	Pediatric Gastroenterology	35082416	OHIO	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2653525	MEDICAID	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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