Provider Demographics
NPI:1003596768
Name:BLUE DOT MEDICAL PLLC
Entity Type:Organization
Organization Name:BLUE DOT MEDICAL PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:SAROJINI
Authorized Official - Middle Name:
Authorized Official - Last Name:RADHAKRISHNAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:914-886-2446
Mailing Address - Street 1:10 CHERRYWOOD RD
Mailing Address - Street 2:
Mailing Address - City:SCARSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10583-4606
Mailing Address - Country:US
Mailing Address - Phone:914-886-2446
Mailing Address - Fax:914-631-3850
Practice Address - Street 1:970 N BROADWAY STE 104
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10701-1310
Practice Address - Country:US
Practice Address - Phone:914-886-2446
Practice Address - Fax:914-631-3850
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-18
Last Update Date:2023-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty