Radhika Ghodasara
Emergency Medicine, Pediatric Emergency Medicine in Elmhurst, NY. Individual provider (NPI-1).
NPI number1689201626
StatusActive
Last updated in NPPESJun 30, 2026
Details
- NPI
- 1689201626
- Entity type
- Individual (NPI-1)
- Name
- Radhika Ghodasara
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 26, 2020
- Certification date
- Jun 30, 2026
- Last updated
- Jun 30, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207PP0204X | Emergency Medicine, Pediatric Emergency Medicine | 323627-01 | NY | Yes |
| 208000000X | Pediatrics | 9478 | MD |
Practice location
7901 BroadwayElmhurst, NY 11373-1329
Phone 718-334-3054
Mailing address
7901 BroadwayElmhurst, NY 11373-1329
Phone 718-334-3054
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