Provider Demographics
NPI:1003026055
Name:PHADKE, RADHIKA PUSHKAR (MD, PHD)
Entity type:Individual
Prefix:
First Name:RADHIKA
Middle Name:PUSHKAR
Last Name:PHADKE
Suffix:
Gender:F
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9910 SANDALFOOT BLVD STE 1
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33428-6692
Mailing Address - Country:US
Mailing Address - Phone:561-883-3030
Mailing Address - Fax:561-852-7611
Practice Address - Street 1:9910 SANDALFOOT BLVD STE 1
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33428-6692
Practice Address - Country:US
Practice Address - Phone:561-883-3030
Practice Address - Fax:561-852-7611
Is Sole Proprietor?:No
Enumeration Date:2007-05-22
Last Update Date:2024-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME129568207RE0101X
NC2011-00885207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL020081500Medicaid