DR. LATHA S RADHAKRISHNAN (NPI# 1598787426) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598787426 |
| Entity Type | Individual |
| Full Name | DR. LATHA S RADHAKRISHNAN |
| Credential | MD |
| Practice Address |
1234 Commercial St Se Salem OR 97302-4204 |
| Practice Telephone | 5033629334 |
| Practice Fax Number | 5033628016 |
| Mailing Telephone | 5033629334 |
| Mailing Fax Number | 5033628016 |
| Enumeration Date | 2006-07-23 |
| Last Update Date | 2015-05-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
MD23902 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 278224 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578629952 | Latha Radhakrishnan | Pharmacist | 833 S Wood Room 164, University of Illinois, College of Pharmacy Mc 886, Chicago, IL 60612 | 2006-12-29 |
| Street Address |
1234 COMMERCIAL ST SE |
| City | SALEM |
| State | OR |
| Zip Code | 97302-4204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598758146 | Sandra Young | Family Medicine | 1234 Commercial St Se, Salem, OR 97302-4204 | 2005-08-30 |
| 1285035071 | Pramukh Inc | Pharmacy | 1234 Commercial St Se, Salem, OR 97302-4204 | 2014-09-11 |
| 1457764581 | Trushar Patel | Pharmacist | 1234 Commercial St Se, Salem, OR 97302-4204 | 2014-06-05 |
| 1396922621 | Physicians Building Pharmacy Inc | Pharmacy | 1234 Commercial St Se, Salem, OR 97302-4204 | 2008-01-29 |
| 1538214036 | Elisabeth Lee Jappay | Internal Medicine | 1234 Commercial St Se, Salem, OR 97302-4204 | 2007-01-24 |
| 1821171711 | Thomas C Kuzma | Pharmacist | 1234 Commercial St Se, Salem, OR 97302-4204 | 2006-10-23 |
| 1841206125 | Cort R Garrison | Internal Medicine | 1234 Commercial St Se, Salem, OR 97302-4204 | 2006-07-31 |
| 1801800149 | Physicians Building Group | Internal Medicine | 1234 Commercial St Se, Salem, OR 97302-4204 | 2006-07-29 |
| 1518981406 | Harold R Harmon | Internal Medicine | 1234 Commercial St Se, Salem, OR 97302-4204 | 2006-07-26 |
| 1568486454 | Debbie L Miller | Internal Medicine | 1234 Commercial St Se, Salem, OR 97302-4204 | 2006-07-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952954679 | Eric Anthony Bohm | Pharmacist | 2757 22nd St. Se, Salem, OR 97302 | 2019-07-22 |
| 1598223737 | Michael Robert Martini | Counselor | 960 Liberty Rd Se Suite 120, Salem, OR 97302 | 2019-03-06 |
| 1659857480 | Avalina Pharmacy Inc | Pharmacy | 3507 Commercial St Se, Salem, OR 97302 | 2018-07-16 |
| 1649762733 | Joseph Bochsler | Physical Therapist | 3220 Liberty Rd. S., Salem, OR 97302 | 2018-06-04 |
| 1922533652 | Brianne Elizabeth Sischo | Licensed Practical Nurse | 3871 Fairview Industrial Dr. Se Ste, 150, Salem, OR 97302 | 2017-05-01 |
| 1851825566 | Modern Nose Clinic LLC | Otolaryngology | 340 Vista Ave Se, Ste 100, Salem, OR 97302 | 2017-04-19 |
| 1720529803 | Nicholas Forsberg | Massage Therapist | 126 Mize Rd S, Salem, OR 97302 | 2017-03-09 |
| 1437691078 | Kimo Mahi | Specialist/Technologist, Other | 2373 Kuebler Rd. S, Salem, OR 97302 | 2016-11-14 |
| 1588113278 | New Life Family Medicine LLC | Clinic/Center | 842 Commercial Street Ne, Salem, OR 97302 | 2016-09-23 |
| 1073060117 | Susan Morag Robnett | Counselor | 912 Fir Street South, Salem, OR 97302 | 2016-09-07 |
| Find all providers in zip 97302 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811211964 | Advanced Endocrinology,llc | Internal Medicine | 310 Woodstown Rd Fl 4, Salem, NJ 08079-2064 | 2010-03-18 |
| 1821283631 | Priya Krishnamurthy | Internal Medicine | 960 Liberty St. Se, Suite 170, Salem, OR 97302 | 2007-09-14 |
| 1831459817 | Ekaterina Manuylova | Internal Medicine | 1585 Liberty St Se, Salem, OR 97302-4345 | 2012-05-23 |
| 1467764399 | Kathleen Glymph | Internal Medicine | 1970 Roanoke Blvd, Salem, VA 24153-6404 | 2010-07-08 |
| 1558494294 | Christian Robert Duren | Internal Medicine | 5050 Skyline Village Loop S, Salem, OR 97306-9490 | 2007-03-13 |
| 1083797047 | Mahdere S Asfaw | Internal Medicine | 1970 Roanoke Blvd, Salem, VA 24153-6404 | 2006-10-23 |
| 1841206125 | Cort R Garrison | Internal Medicine | 1234 Commercial St Se, Salem, OR 97302-4204 | 2006-07-31 |
| 1801800149 | Physicians Building Group | Internal Medicine | 1234 Commercial St Se, Salem, OR 97302-4204 | 2006-07-29 |
| 1457375354 | Thomas J Chamberlin | Internal Medicine | 1234 Commercial St Se, Salem, OR 97302-4204 | 2006-07-26 |
| 1659303188 | Ali Iranmanesh | Internal Medicine | 1970 Roanoke Blvd, R & D Office (151), Salem, VA 24153-6404 | 2006-07-07 |
| Find all providers in SALEM | ||||
Please comment or provide details below to improve the information on DR. LATHA S RADHAKRISHNAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.