Organization Active NPI

Radha Venkatramanan, PLLC

  • Preferred Provider Organization
  • Hopkinsville, KY
National Provider Identifier
1013104470
Registry record updated Oct 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
39289 Issued in KY
Legal business name
RADHA VENKATRAMANAN, PLLC
Practice address
210 Burley Ave
Suite a
Hopkinsville, KY 42240-8725
Phone
(270) 889-0282
Fax
(270) 887-8340
NPI assigned
Oct 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Radha Venkatramanan, MDNPI 1972503027
Title
MD/ President
Phone
(270) 889-0282

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X 39289 KY Primary

Addresses

Primary practice location

210 Burley Ave
Suite a
Hopkinsville, KY 42240-8725

Mailing address

210 A Burley Avenue
Hopkinsville, KY 42240
Phone (270) 889-0282

National Provider Directory

National Provider Directory

Locations

210 Burley Ave
#A
Hopkinsville, KY 42240
Phone (270) 889-0282

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1191196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191196800000",
    "number": "1013104470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 A BURLEY AVENUE",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "42240",
            "telephone_number": "270-889-0282",
            "fax_number": "270-887-8340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 BURLEY AVE",
            "address_2": "SUITE A",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422408725",
            "telephone_number": "270-889-0282",
            "fax_number": "270-887-8340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADHA VENKATRAMANAN, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-01",
        "last_updated": "2007-10-01",
        "status": "A",
        "authorized_official_last_name": "VENKATRAMANAN",
        "authorized_official_first_name": "RADHA",
        "authorized_official_title_or_position": "MD/ PRESIDENT",
        "authorized_official_telephone_number": "270-889-0282",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "KY",
            "license": "39289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hopkinsville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.