Provider Demographics
NPI:1033894126
Name:TANDON, RADHIKA
Entity Type:Individual
Prefix:
First Name:RADHIKA
Middle Name:
Last Name:TANDON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:ST. GEORGE'S UNIVERSITY SCHOOL OF MEDICINE
Mailing Address - Street 2:UNIVERSITY CENTRE, P.O. BOX 420
Mailing Address - City:ST. GEORGE
Mailing Address - State:WEST INDIES
Mailing Address - Zip Code:00000
Mailing Address - Country:GD
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3500 SUNRISE HWY
Practice Address - Street 2:
Practice Address - City:GREAT RIVER
Practice Address - State:NY
Practice Address - Zip Code:11739-1001
Practice Address - Country:US
Practice Address - Phone:631-665-8500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-16
Last Update Date:2023-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program