Individual provider Active NPI

Indu Cherangapadath Radhakrishnan

  • Dentist
  • Upper Darby, PA
National Provider Identifier
1518667948
Registry record updated Oct 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS044195 Issued in PA
Practice address
6784 Market St
Upper Darby, PA 19082-2431
Phone
(484) 462-0171
NPI assigned
Mar 6, 2023
Last updated
Oct 5, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DS044195 PA Primary

Addresses

Primary practice location

6784 Market St
Upper Darby, PA 19082-2431

Mailing address

1000 Conestoga Rd Apt C259
Bryn Mawr, PA 19010-1547
Phone (484) 744-5208

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

State licenses

LicenseStateTypeSpecialty
DS044195PAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1678060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791158400000",
    "number": "1518667948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 CONESTOGA RD APT C259",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190101547",
            "telephone_number": "484-744-5208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6784 MARKET ST",
            "city": "UPPER DARBY",
            "state": "PA",
            "postal_code": "190822431",
            "telephone_number": "484-462-0171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHERANGAPADATH RADHAKRISHNAN",
        "first_name": "INDU",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-06",
        "last_updated": "2026-10-05",
        "certification_date": "2026-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS044195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upper Darby, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2026; 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.