Active NPI
Surya Radhakrishnan
- Student in an Organized Health Care Education/Training Program
- Miami, FL
National Provider Identifier
1699616763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 1611 NW 12TH Ave
Miami, FL 33136-1005 - Phone
- (301) 433-3701
- NPI assigned
- Apr 2, 2026
- Last updated
- Apr 2, 2026
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
1611 NW 12TH Ave
Miami, FL 33136-1005
Mailing address
1639 E Jefferson St Apt 201
Rockville, MD 20852-4025
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1775088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775088000000",
"number": "1699616763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1639 E JEFFERSON ST APT 201",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208524025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1611 NW 12TH AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331361005",
"telephone_number": "301-433-3701"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RADHAKRISHNAN",
"first_name": "SURYA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-04-02",
"last_updated": "2026-04-02",
"certification_date": "2026-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
- Polina Radchenkova, PA-C
- Iryna Radchykava
- Erica Radcliffe-Henry, PA-C
- Ottmar Raddatz Martinez
- Raegan Marie Radenheimer, PSYD
- Radiance South, PLLC (Radiance Medspa of South Miami)
- Radiant ABA LLC
- Radiant Care Mental Health Services Inc
- Radiant Home Health Services Corporation
- Radiant Medical Supply Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.