Provider Demographics
NPI:1023454527
Name:THAPPETA, RADHIKA (MD)
Entity type:Individual
Prefix:DR
First Name:RADHIKA
Middle Name:
Last Name:THAPPETA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:RADHIKA
Other - Middle Name:REDDY
Other - Last Name:RACHAMALLU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS
Mailing Address - Street 1:158 PHASE ONE ADARSH PALM MEADOWS
Mailing Address - Street 2:RAMAGUNDANAHALLI
Mailing Address - City:BANGALORE
Mailing Address - State:KARNATAKA
Mailing Address - Zip Code:560066
Mailing Address - Country:IN
Mailing Address - Phone:1443-552-7281
Mailing Address - Fax:1707-356-4172
Practice Address - Street 1:158 PHASE ONE ADARSH PALM MEADOWS
Practice Address - Street 2:RAMAGUNDANAHALLI
Practice Address - City:BANGALORE
Practice Address - State:KARNATAKA
Practice Address - Zip Code:560066
Practice Address - Country:IN
Practice Address - Phone:1443-552-7281
Practice Address - Fax:1707-356-4172
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-12
Last Update Date:2018-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT052125207R00000X
CT52125208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist