Rambha Radhakrishnan, M.D.

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

036.065523 Issued in IL

Practice address

2645 W Peterson Ave
Chicago, IL 60659-4017

Phone

(773) 275-8630

Fax

(773) 275-8635

NPI assigned

Jul 8, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Indian American Medical Association Charitable Foundation

  • General Practice Physician
  • Chicago, IL
  • NPI 1437071743
  NPD (past)
• Indian American Medical Association Charitable Foundation(Iamacf)

  • General Practice Physician
  • Chicago, IL
  • NPI 1992628275
  NPD (past)

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

{
    "created_epoch": "1404777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404777600000",
    "number": "1457767774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2645 W PETERSON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606594017",
            "telephone_number": "773-275-8630",
            "fax_number": "773-275-8635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2645 W PETERSON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606594017",
            "telephone_number": "773-275-8630",
            "fax_number": "773-275-8635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADHAKRISHNAN",
        "first_name": "RAMBHA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-08",
        "last_updated": "2014-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "IL",
            "license": "036.065523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Raden, D.O.
• Andrew Thomas Rader
• Laurie Maria Rades, LCSW
• Alexi Radford, LCPC
• Latha Radhakrishnan, PHARM.D.
• Radial Health SC
• Radiance Ride Inc
• Radiant Beauty Med Spa
• Radiant Health Care Inc.
• Radical Authenticity & Wellness Psychotherapy Group LLC

• Adult Medicine Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Adult Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2014; 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.