Provider Demographics
NPI:1801237813
Name:JANAKIRAMAN, RADHA (MSCPT)
Entity type:Individual
Prefix:MRS
First Name:RADHA
Middle Name:
Last Name:JANAKIRAMAN
Suffix:
Gender:F
Credentials:MSCPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 ROLLING HILLS DR
Mailing Address - Street 2:
Mailing Address - City:SOMERSET
Mailing Address - State:NJ
Mailing Address - Zip Code:08873-5329
Mailing Address - Country:US
Mailing Address - Phone:908-670-2466
Mailing Address - Fax:732-534-8690
Practice Address - Street 1:6 ROLLING HILLS DR
Practice Address - Street 2:
Practice Address - City:SOMERSET
Practice Address - State:NJ
Practice Address - Zip Code:08873-5329
Practice Address - Country:US
Practice Address - Phone:908-670-2466
Practice Address - Fax:732-534-8690
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-08
Last Update Date:2013-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA00529900225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist