Individual ProviderRajiv RadhakrishnanPsychiatry & NeurologyAllopathic & Osteopathic PhysiciansPractice Address300 George St, Suite 901, New Haven, CT 06511-6624(203) 903-6736(203) 974-7300PECOS EnrollmentBased on the most recent information from CMS, provider Rajiv Radhakrishnan is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1265742860Provider TypeIndividualFull NameRadhakrishnan, RajivCredentialM.B.B.S., M.D.GenderMaleSole ProprietorYesEnumeration Date10/15/2010Last Updated12/18/2018Contact InformationPractice LocationPractice Address300 George St, Suite 901, New Haven, CT 06511-6624Phone(203) 903-6736FaxUnlisted FaxMailing LocationMailing Address34 Park St, New Haven, CT 06519-1109Phone(203) 974-7300FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode2084P0800XPrimaryDescriptionPsychiatry & NeurologyAllopathic & Osteopathic PhysiciansLicense053223ConnecticutCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer