RAMBHA RADHAKRISHNAN (NPI# 1457767774) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457767774 |
| Entity Type | Individual |
| Full Name | RAMBHA RADHAKRISHNAN |
| Credential | M.D. |
| Practice Address |
2645 W Peterson Ave Chicago IL 60659-4017 |
| Practice Telephone | 7732758630 |
| Practice Fax Number | 7732758635 |
| Mailing Telephone | 7732758630 |
| Mailing Fax Number | 7732758635 |
| Enumeration Date | 2014-07-08 |
| Last Update Date | 2014-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
036.065523 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
2645 W PETERSON AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60659-4017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043811425 | Devon Homecare Physicians Inc. | Family Medicine | 2822 W. Granville Ave. Apt 1, Chicago, IL 60659 | 2020-11-03 |
| 1932724200 | Tatyana Menaker | Nurse Practitioner | 2958 West Devon Ave, Chicago, IL 60659 | 2020-06-12 |
| 1508410069 | Kara Lyn Anderson | Counselor | 2551 W. Peterson Ave, Chicago, IL 60659 | 2019-08-01 |
| 1568980019 | Saba Suleman | Counselor | 5815 N Spaulding Ave Apt 3a, Chicago, IL 60659 | 2017-09-05 |
| 1639695257 | Go Diagnostics Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 5862 N Lincoln Ave, Suite 4, Chicago, IL 60659 | 2017-08-15 |
| 1972039568 | Trilogy, Inc. | Community/Behavioral Health | 2551 W Peterson Ave, Chicago, IL 60659 | 2017-05-03 |
| 1689029050 | Soulu | Voluntary or Charitable | 3557 W Peterson Ave #122, Chicago, IL 60659 | 2016-05-04 |
| 1730540550 | Michael Wei-tsi Chien | Dentist | 3425 W Peterson Ave Ste 107, Chicago, IL 60659 | 2016-03-08 |
| 1497129688 | Acquaint Homecare LLC | Home Health | 3525 West Peterson Avenue, Unit 118, Chicago, IL 60659 | 2015-11-25 |
| 1083054621 | Rebecca Schnell | Speech-Language Pathologist | 6124 N Saint Louis Ave, Chicago, IL 60659 | 2013-06-27 |
| Find all providers in zip 60659 | ||||
| Taxonomy Code | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043811425 | Devon Homecare Physicians Inc. | Family Medicine | 2822 W. Granville Ave. Apt 1, Chicago, IL 60659 | 2020-11-03 |
| 1447666318 | M & F Medical Services, Ltd | Family Medicine | 5642 N Christiana Ave, Chicago, IL 60659-4555 | 2014-07-10 |
| 1730444639 | Iqbal S Husain | Family Medicine | 6936 N Chicora Ave, Chicago, IL 60646-1508 | 2012-07-07 |
| 1033480413 | Healthworks Integrative Medical Clinic | Family Medicine | 1165 N Clark St Ste 608, Chicago, IL 60610-7848 | 2012-01-18 |
| 1518123843 | Nastane Le Bec | Family Medicine | 6225 S Kenwood Ave Apt 1s, Chicago, IL 60637-3766 | 2008-08-06 |
| 1639372410 | Albert R Rosanova Jr Ltd | Family Medicine | 5510 W Montrose Ave, Chicago, IL 60641-1330 | 2007-06-07 |
| 1386860997 | Mariya Dmytriv-kapeniak | Family Medicine | 2540 W Chicago Ave, Chicago, IL 60622-5019 | 2007-04-18 |
| 1255462578 | Roberto Diaz | Family Medicine | 1805 S Ashland Ave, Chicago, IL 60608-2805 | 2007-03-08 |
| 1386784346 | Carroll Edward Smith | Family Medicine | 4215 S King Dr, Chicago, IL 60653-2663 | 2007-02-07 |
| 1265579262 | Maimanat Nizam | Family Medicine | 2001 W 69th St, Chicago, IL 60636-3262 | 2007-01-30 |
| Find all providers in CHICAGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.