Dr. Jaydeep Kumar Radhakrishnan, MD
Dr. Jaydeep Kumar Radhakrishnan, MD is a Family Practice in Sugar Hill, Georgia. Qualified in 2007, 19 years ago. Practices with The Southeast Permanente Medical Group, a 826-clinician group and accepts Medicare assignment. Licensed in Georgia and Ohio.
- Years since qualifying
- 19
- Licensed in
- GA, OH
- In the registry since
- 2008
- Specialties on file
- 2
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
1435 Broadmoor BlvdSugar Hill, GA 30518
Phone: (404) 365-0966
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence 66050 (GA) |
|---|---|
| Family Medicine Physician | Taxonomy 207Q00000X · Licence 57-014665 (OH) |
Record details
| NPI number | 1730335407 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | August 13, 2008 |
| Last updated in NPPES | October 4, 2022 |
| Certification date | October 4, 2022 |
| Mailing address | 3495 Piedmont Rd Ne, Nine Piedmont Center, Atlanta, GA 30305-1717 |
Medicare enrollment
| Medicare specialty | FAMILY PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 2007 (19 years in practice) |
| Group practice | The Southeast Permanente Medical Group — 826 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Other providers in Sugar Hill
-
MS. Matilda Mabel Antwi, NP
715 River Rush Dr, Sugar Hill, GA 30518-7465 · (630) 202-6958
-
Jayashree Venkatesh, MD
1435 Broadmoor Blvd Kaiser Permanente Sugar Hill-Buford Medical Ctr, Sugar Hill, GA 30518 · (678) 765-5700