Active NPI
Krishnan Radhakrishnan, MD
- Public Health & General Preventive Medicine Physician
- Lexington, KY
National Provider Identifier
1467591461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health & General Preventive Medicine Physician
- License
- R2621
- Practice address
- 800 Rose St
Lexington, KY 40506-0001 - Phone
- (859) 218-2100
- Fax
- (859) 257-9862
- NPI assigned
- Feb 6, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health & General Preventive Medicine Physician | 2083P0901X | R2621 | KY | Primary |
Addresses
Primary practice location
800 Rose St
Lexington, KY 40506-0001
Mailing address
111 Washington Ave
Suite 220
Lexington, KY 40536-0003
Phone (859) 218-2100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R2621 | KY | MD | Public Health & General Preventive Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366243200000",
"number": "1467591461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 WASHINGTON AVE",
"address_2": "SUITE 220",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405360003",
"telephone_number": "859-218-2100",
"fax_number": "859-257-9862"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 ROSE ST",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405060001",
"telephone_number": "859-218-2100",
"fax_number": "859-257-9862"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RADHAKRISHNAN",
"first_name": "KRISHNAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-06",
"last_updated": "2013-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "2083P0901X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Public Health & General Preventive Medicine",
"state": "KY",
"license": "R2621",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.