Provider Demographics
NPI:1437473311
Name:SUNDARARAJAN, RADHIKA LU (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:RADHIKA
Middle Name:LU
Last Name:SUNDARARAJAN
Suffix:
Gender:F
Credentials:MD, PHD
Other - Prefix:DR
Other - First Name:RADHIKA
Other - Middle Name:LU
Other - Last Name:BAUER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD
Mailing Address - Street 1:200 W ARBOR DR
Mailing Address - Street 2:#8676
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92103-9000
Mailing Address - Country:US
Mailing Address - Phone:619-471-9237
Mailing Address - Fax:619-543-3115
Practice Address - Street 1:200 W ARBOR DR
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92103-9000
Practice Address - Country:US
Practice Address - Phone:619-471-9237
Practice Address - Fax:619-543-3115
Is Sole Proprietor?:No
Enumeration Date:2010-03-20
Last Update Date:2014-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA131389207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine