Provider Demographics
NPI:1972530400
Name:RADKAR, MRUNALINI VINAYAK (MD)
Entity Type:Individual
Prefix:
First Name:MRUNALINI
Middle Name:VINAYAK
Last Name:RADKAR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:MRUNALINI
Other - Middle Name:VINAYAK
Other - Last Name:DHONGADE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2020 BERKLEY DR
Mailing Address - Street 2:
Mailing Address - City:WICHITA FALLS
Mailing Address - State:TX
Mailing Address - Zip Code:76308-1345
Mailing Address - Country:US
Mailing Address - Phone:940-766-5629
Mailing Address - Fax:
Practice Address - Street 1:5500 KELL BLVD STE 100
Practice Address - Street 2:
Practice Address - City:WICHITA FALLS
Practice Address - State:TX
Practice Address - Zip Code:76310-1612
Practice Address - Country:US
Practice Address - Phone:940-696-5335
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-28
Last Update Date:2020-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM2024207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine