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Dr. Jai Radhakrishnan, MD

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(Jai Radhakrishnan, MD)

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Specializes in: General Practice and Nephrology (Kidney Disease)

Jawaharlal Institute of Postgraduate Medical Education & Research (JIPMER)

Professional interests include: kidney failure, hypertension (high blood pressure), kidney problems, and more.

Floor 4 CUIMC/51 Audubon Avenue Office
New York, NY 10032

(212) 305-3273

Dr. Jai Radhakrishnan, MD is a general practitioner in New York, NY specializing in general practice and nephrology (kidney disease). He graduated from Jawaharlal Institute of Postgraduate Medical Education & Research (JIPMER). Dr. Jai Radhakrishnan, MD is affiliated with NewYork-Presbyterian, ColumbiaDoctors, Columbia University Irving Medical Center and CUIMC/51 Audubon Avenue Office.

Office Locations

Floor 4 CUIMC/51 Audubon Avenue Office
New York, NY 10032

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Some issues Dr. Jai Radhakrishnan, MD can help you with:

Biopsy

A biopsy is a procedure performed to remove a small sample of cells for testing. The cells are examined in a laboratory to check for disease, or sometimes to see how badly a known disease is affecting them. Biopsy can be performed on any part of the body.

Although biopsy is most often associated with cancer, it can also be used to check for other diseases, such as infections. A biopsy sample can be scraped, cut, collected with a needle, taken with a machine that punches out a tiny piece, or removed with the tiny tools in an endoscope.

In most cases, a biopsy is a simple outpatient procedure. Depending on the procedure, patients may need to stop taking certain medications beforehand, such as blood thinners. It is important for patients to tell doctors if they are pregnant, as certain biopsies require the use of x-rays to guide the needle to the right location. There is usually very little pain associated with a biopsy. Patients will have to wait a few days to hear the results.

Kidney Stones

Kidney stones are hard deposits that form in the kidneys, made up of minerals that are normally present in urine. They can vary in size, from as small as a grain of sand to as large as a nickel, occasionally even larger. Sometimes they lodge in the kidney, and sometimes they break free and make their way out through the urinary tract, which can be extremely painful.

Kidney stones can be smooth or jagged and are yellow to brown in color. They are mostly comprised of the minerals calcium, oxalate, and phosphorus. Examining the stones to see what they are made of can show what caused the stone to be formed in the first place. For example, a stone made of mostly calcium, which is the most common type, can happen any time the urine becomes too concentrated due to dehydration or a blockage in the kidney. A uric acid stone forms when acid levels in the urine get too high, usually due to excessive consumption of animal protein such as meat and fish. A struvite stone is a sign of certain infections, and a cystine stone can be due to a genetic disorder that raises the risk of kidney stones.

The most common symptom of kidney stones is pain, either in the back or lower abdomen, or severe pain when urinating. There may also be blood in the urine. Treatment for kidney stones depends on how large the stone is. Very small stones can pass out of the body on their own, and they do not require treatment other than drinking adequate water and taking pain killers. Larger stones need to be broken apart and removed. The main treatment options are:

Shock wave lithotripsy, which uses sound wave vibrations to break apart the stone
Percutaneous nephrolithotomy, or the use of a very tiny tool (like a wire inserted through the back) to break apart and remove the stone
Ureteroscopy, a thin tube inserted through the urethra and bladder to the stone, where tiny tools can grasp the stone and remove

People who have had one kidney stone are at risk of developing another. To reduce this risk, patients are given instructions specific to the type of stone they developed. Generally the instructions will include drinking more water to dilute the urine, but it may also involve lowering sodium intake or eating less meat.

In The News (see more mentions in the news)

“By week 36 of treatment in the phase III study, patients on sparsentan saw a 49.8% reduction from baseline in urine protein-creatinine (UP/C) ratio compared with only a 15.1% drop in patients on...”—"Nonimmunosuppressive Therapy Bests ARB for Cutting Proteinuira in IgA Nephropathy", MedPage Today, April 2023

“Last week, Dr. Jai Radhakrishnan, a Columbia University professor of medicine, went on social media to beg for help.”—"New Covid-19 crisis hits ICUs as more patients need dialysis", CNN, April 2020

“Contributions may be made to Columbia University Division of Nephrology for Dr. Jai Radhakrishnan's Research Fund, 622 W 168th St., PH 4-124, New York, NY 10032, or Planned Parenthood of New York...”—"Cathleen Lauren Gold", The Orange County Register, December 2018

Medicare Procedure and Patient Information

2012 Medicare Procedure Volume

The top procedures that Dr. Jai Radhakrishnan, MD treated as a general practitioner in New York, NY during 2012 were hospital care, inpatient care, dialysis and hemofiltration.

Volume of procedures performed by Dr. Jai Radhakrishnan, MD for Medicare patients.

dialysis	52
doctor visit	455
hemofiltration	20
hospital care	539
inpatient care	539

Medicare Procedure and Patient Information

2013 Medicare Procedure Volume

The top procedures that Dr. Jai Radhakrishnan, MD treated as a general practitioner in New York, NY during 2013 were hospital care, inpatient care and dialysis.

Volume of procedures performed by Dr. Jai Radhakrishnan, MD for Medicare patients.

dialysis	82
doctor visit	375
hospital care	485
inpatient care	485

2013 Medicare Patient Data

Information about Medicare patients treated by Dr. Jai Radhakrishnan, MD.

**Gender**
Male	265
Female	187

**Ethnicity**
Non-Hispanic White	222
Black	95
Hispanic	101
Asian	23
Other	11
Native American	0

**Age**
From 65 to 74	161
From 75 to 84	119
85 and over	40
Less than 65	132

Conditions of Medicare patients treated by Dr. Jai Radhakrishnan, MD in 2013

Hypertension	75
High Cholesterol	75
Stroke	10
Ischemic Heart Disease	72
Depression	27
Chronic Kidney Disease	75
Asthma	12
Osteoperosis	10
Atrial Fibrilation	24
Heart Failure	69
Chronic Obstructive Pulmonary Disease	20
Diabetes	66
Dementia	12
Cancer	12

Medicare Procedure and Patient Information

2014 Medicare Procedure Volume

The top procedures that Dr. Jai Radhakrishnan, MD treated as a general practitioner in New York, NY during 2014 were hospital care, inpatient care and dialysis.

Volume of procedures performed by Dr. Jai Radhakrishnan, MD for Medicare patients.

dialysis	92
doctor visit	288
hospital care	620
inpatient care	620

2014 Medicare Patient Data

Information about Medicare patients treated by Dr. Jai Radhakrishnan, MD.

**Gender**
Male	293
Female	215

**Ethnicity**
Non-Hispanic White	229
Black	91
Hispanic	145
Asian	23
Other	20
Native American	0

**Age**
From 65 to 74	172
From 75 to 84	124
85 and over	76
Less than 65	136

Conditions of Medicare patients treated by Dr. Jai Radhakrishnan, MD in 2014

Hypertension	75
High Cholesterol	71
Stroke	14
Ischemic Heart Disease	70
Depression	30
Chronic Kidney Disease	75
Asthma	14
Osteoperosis	10
Atrial Fibrilation	28
Heart Failure	64
Chronic Obstructive Pulmonary Disease	24
Diabetes	63
Dementia	18
Cancer	11

Medicare Procedure and Patient Information

2015 Medicare Procedure Volume

The top procedures that Dr. Jai Radhakrishnan, MD treated as a general practitioner in New York, NY during 2015 were hospital care, inpatient care and dialysis.

Volume of procedures performed by Dr. Jai Radhakrishnan, MD for Medicare patients.

dialysis	17
doctor visit	207
hospital care	355
inpatient care	355

2015 Medicare Patient Data

Information about Medicare patients treated by Dr. Jai Radhakrishnan, MD.

**Gender**
Male	430
Female	250

**Ethnicity**
Non-Hispanic White	346
Black	108
Hispanic	166
Asian	32
Other	28
Native American	0

**Age**
From 65 to 74	240
From 75 to 84	192
85 and over	76
Less than 65	172

Conditions of Medicare patients treated by Dr. Jai Radhakrishnan, MD in 2015

Hypertension	75
High Cholesterol	68
Stroke	13
Ischemic Heart Disease	67
Depression	22
Chronic Kidney Disease	75
Asthma	11
Osteoperosis	8
Atrial Fibrilation	25
Heart Failure	60
Chronic Obstructive Pulmonary Disease	16
Diabetes	62
Dementia	15
Cancer	8

Medicare Procedure and Patient Information

2016 Medicare Procedure Volume

The top procedures that Dr. Jai Radhakrishnan, MD treated as a general practitioner in New York, NY during 2016 were hospital care, inpatient care, dialysis and diagnostic procedures.

Volume of procedures performed by Dr. Jai Radhakrishnan, MD for Medicare patients.

diagnostic procedures	12
dialysis	41
doctor visit	385
hospital care	387
inpatient care	387

2016 Medicare Patient Data

Information about Medicare patients treated by Dr. Jai Radhakrishnan, MD.

**Gender**
Male	256
Female	193

**Ethnicity**
Non-Hispanic White	208
Black	96
Hispanic	111
Asian	19
Other	15
Native American	0

**Age**
From 65 to 74	152
From 75 to 84	132
85 and over	53
Less than 65	112

Conditions of Medicare patients treated by Dr. Jai Radhakrishnan, MD in 2016

Hypertension	75
High Cholesterol	67
Stroke	11
Ischemic Heart Disease	63
Depression	29
Chronic Kidney Disease	75
Asthma	21
Osteoperosis	9
Atrial Fibrilation	23
Heart Failure	54
Chronic Obstructive Pulmonary Disease	19
Diabetes	61
Dementia	20
Cancer	11

Medicare Procedure and Patient Information

2017 Medicare Procedure Volume

The top procedures that Dr. Jai Radhakrishnan, MD treated as a general practitioner in New York, NY during 2017 were hospital care, inpatient care and dialysis.

Volume of procedures performed by Dr. Jai Radhakrishnan, MD for Medicare patients.

dialysis	52
doctor visit	432
hospital care	454
inpatient care	454

2017 Medicare Patient Data

Information about Medicare patients treated by Dr. Jai Radhakrishnan, MD.

**Gender**
Male	253
Female	204

**Ethnicity**
Non-Hispanic White	215
Black	95
Hispanic	108
Asian	21
Other	0
Native American	0

**Age**
From 65 to 74	165
From 75 to 84	136
85 and over	58
Less than 65	98

Conditions of Medicare patients treated by Dr. Jai Radhakrishnan, MD in 2017

Hypertension	75
High Cholesterol	62
Stroke	11
Ischemic Heart Disease	63
Depression	30
Chronic Kidney Disease	75
Asthma	9
Osteoperosis	10
Atrial Fibrilation	24
Heart Failure	57
Chronic Obstructive Pulmonary Disease	19
Diabetes	62
Dementia	23
Cancer	13

Medicare Procedure and Patient Information

2018 Medicare Procedure Volume

The top procedures that Dr. Jai Radhakrishnan, MD treated as a general practitioner in New York, NY during 2018 were hospital care, inpatient care and dialysis.

Volume of procedures performed by Dr. Jai Radhakrishnan, MD for Medicare patients.

dialysis	14
doctor visit	309
hospital care	448
inpatient care	448

2018 Medicare Patient Data

Information about Medicare patients treated by Dr. Jai Radhakrishnan, MD.

**Gender**
Male	229
Female	191

**Ethnicity**
Non-Hispanic White	196
Black	89
Hispanic	93
Asian	29
Other	13
Native American	0

**Age**
From 65 to 74	158
From 75 to 84	133
85 and over	50
Less than 65	79

Conditions of Medicare patients treated by Dr. Jai Radhakrishnan, MD in 2018

Hypertension	75
High Cholesterol	74
Stroke	16
Ischemic Heart Disease	68
Depression	33
Chronic Kidney Disease	75
Asthma	11
Osteoperosis	10
Atrial Fibrilation	21
Heart Failure	54
Chronic Obstructive Pulmonary Disease	19
Diabetes	63
Dementia	31
Cancer	13

Medicare Procedure and Patient Information

2019 Medicare Procedure Volume

The top procedures that Dr. Jai Radhakrishnan, MD treated as a general practitioner in New York, NY during 2019 were hospital care, inpatient care and blood draw.

Volume of procedures performed by Dr. Jai Radhakrishnan, MD for Medicare patients.

blood draw	45
doctor visit	307
hospital care	484
inpatient care	484

2019 Medicare Patient Data

Information about Medicare patients treated by Dr. Jai Radhakrishnan, MD.

**Gender**
Male	229
Female	181

**Ethnicity**
Non-Hispanic White	192
Black	76
Hispanic	96
Asian	29
Other	17
Native American	0

**Age**
From 65 to 74	150
From 75 to 84	124
85 and over	50
Less than 65	86

Conditions of Medicare patients treated by Dr. Jai Radhakrishnan, MD in 2019

Hypertension	75
High Cholesterol	73
Stroke	11
Ischemic Heart Disease	68
Depression	31
Chronic Kidney Disease	75
Asthma	13
Osteoperosis	12
Atrial Fibrilation	24
Heart Failure	61
Chronic Obstructive Pulmonary Disease	22
Diabetes	65
Dementia	29
Cancer	10

Medicare Procedure and Patient Information

2020 Medicare Procedure Volume

The top procedures that Dr. Jai Radhakrishnan, MD treated as a general practitioner in New York, NY during 2020 were hospital care, inpatient care and blood draw.

Volume of procedures performed by Dr. Jai Radhakrishnan, MD for Medicare patients.

blood draw	71
doctor visit	371
hospital care	319
inpatient care	319

2020 Medicare Patient Data

Information about Medicare patients treated by Dr. Jai Radhakrishnan, MD.

**Gender**
Male	204
Female	162

**Ethnicity**
Non-Hispanic White	169
Black	63
Hispanic	91
Asian	29
Other	14
Native American	0

**Age**
From 65 to 74	133
From 75 to 84	126
85 and over	44
Less than 65	63

Conditions of Medicare patients treated by Dr. Jai Radhakrishnan, MD in 2020

Hypertension	75
High Cholesterol	70
Stroke	10
Ischemic Heart Disease	61
Depression	29
Chronic Kidney Disease	75
Asthma	14
Osteoperosis	9
Atrial Fibrilation	20
Heart Failure	54
Chronic Obstructive Pulmonary Disease	18
Diabetes	62
Dementia	25
Cancer	14

Medicare Procedure and Patient Information

2021 Medicare Procedure Volume

The top procedures that Dr. Jai Radhakrishnan, MD treated as a general practitioner in New York, NY during 2021 were hospital care, inpatient care and blood draw.

Volume of procedures performed by Dr. Jai Radhakrishnan, MD for Medicare patients.

blood draw	75
doctor visit	377
hospital care	307
inpatient care	307

2021 Medicare Patient Data

Information about Medicare patients treated by Dr. Jai Radhakrishnan, MD.

**Gender**
Male	189
Female	151

**Ethnicity**
Non-Hispanic White	174
Black	58
Hispanic	67
Asian	26
Other	15
Native American	0

**Age**
From 65 to 74	141
From 75 to 84	93
85 and over	36
Less than 65	70

Conditions of Medicare patients treated by Dr. Jai Radhakrishnan, MD in 2021

Hypertension	75
High Cholesterol	73
Stroke	18
Ischemic Heart Disease	61
Depression	29
Chronic Kidney Disease	75
Asthma	16
Osteoperosis	14
Atrial Fibrilation	26
Heart Failure	50
Chronic Obstructive Pulmonary Disease	17
Diabetes	62
Dementia	23
Cancer	13

Medicare Procedure and Patient Information

2022 Medicare Procedure Volume

The top procedures that Dr. Jai Radhakrishnan, MD treated as a general practitioner in New York, NY during 2022 were hospital care, inpatient care and blood draw.

Volume of procedures performed by Dr. Jai Radhakrishnan, MD for Medicare patients.

blood draw	67
doctor visit	423
hospital care	275
inpatient care	275

2022 Medicare Patient Data

Information about Medicare patients treated by Dr. Jai Radhakrishnan, MD.

**Gender**
Male	204
Female	142

**Ethnicity**
Non-Hispanic White	190
Black	52
Hispanic	60
Asian	28
Other	16
Native American	0

**Age**
From 65 to 74	137
From 75 to 84	116
85 and over	39
Less than 65	54

Conditions of Medicare patients treated by Dr. Jai Radhakrishnan, MD in 2022

Hypertension	75
High Cholesterol	75
Stroke	21
Ischemic Heart Disease	51
Depression	26
Chronic Kidney Disease	75
Asthma	17
Osteoperosis	17
Atrial Fibrilation	38
Heart Failure	45
Chronic Obstructive Pulmonary Disease	21
Diabetes	62
Dementia	16
Cancer	18

Medicare Procedure and Patient Information

Average Medicare Procedure Volume From 2012 - 2022

Volume of procedures performed by Dr. Jai Radhakrishnan, MD for Medicare patients.

The highest averages for the top procedures that Dr. Jai Radhakrishnan, MD treated as a general practitioner in New York, NY were hospital care, inpatient care, blood draw and dialysis.

blood draw	64
diagnostic procedures	12
dialysis	50
doctor visit	357
hemofiltration	20
hospital care	424
inpatient care	424

Average Medicare Patient Data From 2012 - 2022

Information about Medicare patients treated by Dr. Jai Radhakrishnan, MD.

**Gender**
Female	170
Male	232

**Ethnicity**
Black / African American	74
Asian / Pacific Islander	23
Non-Hispanic White	194
Native American / Alaskan Native	0
Hispanic	94
Other	13

**Age**
85 and over	47
75 to 84	117
Less than 65	91
65 to 74	146

Average of Total of Conditions of Medicare patients treated by Dr. Jai Radhakrishnan, MD From 2012 - 2022

The highest averages of the most common conditions of Medicare patients that Dr. Jai Radhakrishnan, MD treated were chronic kidney disease, hypertension, high cholesterol and ischemic heart disease.

Hypertension	68
High Cholesterol	64
Stroke	12
Ischemic Heart Disease	58
Depression	26
Chronic Kidney Disease	68
Asthma	12
Osteoporosis	9
Heart Failure	51
Chronic Obstructive Pulmonary Disease	17
Diabetes	57
Atrial Fibrillation	23
Dementia	19
Cancer	11

Education & Training

Dr. Jai Radhakrishnan, MD graduated from Jawaharlal Institute of Postgraduate Medical Education & Research (JIPMER). He completed residency at Lincoln Medical and Mental Health Center. He is certified by the American Society of Hypertension Specialist Certification and has a state license in New York.

Medical School: Jawaharlal Institute of Postgraduate Medical Education & Research (JIPMER)

Residency: Lincoln Medical and Mental Health Center

Board Certification: American Society of Hypertension Specialist Certification

Licensed In: New York

Affiliations & Hospitals

Dr. Jai Radhakrishnan, MD is associated with these hospitals and organizations:

NewYork-Presbyterian

ColumbiaDoctors

Columbia University Irving Medical Center

CUIMC/51 Audubon Avenue Office

Insurance Information

Please note: Insurance information may change at any time, and the provider may accept your insurance plan even if it is not listed below. Please contact the provider's office to confirm that your insurance is accepted.

Dr. Jai Radhakrishnan, MD appears to accept the following insurance providers: Emblem/GHI, Emblem/Hip, MVP Health Care, WellCare, Multiplan, AETNA, UnitedHealthcare, Affinity Health Plan, Magnacare (National), Medicare, CIGNA, Local 1199, Fidelis Care, Healthfirst, Empire Blue Cross Blue Shield Healthplus, VNSNY CHOICE, World Trade Center Health Plan, ElderServe, Amida Care, GHI PPO, CIGNA PPO, CIGNA POS, Blue Shield PPO, CIGNA HMO, Aetna Signature Administrators, CIGNA EPO, Blue Shield HMO, Blue Shield EPO, Medicaid Managed Care, HealthSpring, United Healthcare PPO, United Healthcare POS, United Healthcare HMO, Railroad Medicare, Aetna POS, Vytra, United Healthcare, HIP EPO, Great-West Healthcare, Medicaid, Oxford HMO, Empire BlueCross BlueShield HMO, HIP PPO, HIP POS, HIP HMO, Empire BlueCross BlueShield PPO, Aetna EPO, Aetna PPO, Aetna HMO, Medicare - Traditional Medicare, VNSNY CHOICE - Medicare Managed Care, World Trade Center Health Plan - World Trade Center Health Plan, Healthfirst - Child/Family Health Plus, Healthfirst - Leaf (Exchange), AETNA - Medicare Managed Care, VNSNY CHOICE - Special Needs, MVP Health Care - Essential Plan, AETNA - NY Signature, Empire Blue Cross - EPO, MVP Health Care - HMO, Healthfirst - Medicare Managed Care, AETNA - Student Health, Amida Care - Special Needs, RiverSpring, RiverSpring - Special Needs, MVP Health Care - Child/Family Health Plus and VNSNY CHOICE - SelectHealth.

Insurance Accepted by Provider includes:

According to our sources, Dr. Jai Radhakrishnan, MD accepts the following insurance providers:

Emblem/GHI

Emblem/Hip

MVP Health Care

WellCare

Multiplan

AETNA

UnitedHealthcare

Affinity Health Plan

Magnacare (National)

Medicare

CIGNA

Local 1199

Fidelis Care

Healthfirst

Empire Blue Cross Blue Shield Healthplus

VNSNY CHOICE

World Trade Center Health Plan

ElderServe

Amida Care

GHI PPO

CIGNA PPO

CIGNA POS

Blue Shield PPO

CIGNA HMO

Aetna Signature Administrators

CIGNA EPO

Blue Shield HMO

Blue Shield EPO

Medicaid Managed Care

HealthSpring

United Healthcare PPO

United Healthcare POS

United Healthcare HMO

Railroad Medicare

Aetna POS

Vytra

United Healthcare

HIP EPO

Great-West Healthcare

Medicaid

Oxford HMO

Empire BlueCross BlueShield HMO

HIP PPO

HIP POS

HIP HMO

Empire BlueCross BlueShield PPO

Aetna EPO

Aetna PPO

Aetna HMO

Medicare - Traditional Medicare

VNSNY CHOICE - Medicare Managed Care

World Trade Center Health Plan - World Trade Center Health Plan

Healthfirst - Child/Family Health Plus

Healthfirst - Leaf (Exchange)

AETNA - Medicare Managed Care

VNSNY CHOICE - Special Needs

MVP Health Care - Essential Plan

AETNA - NY Signature

Empire Blue Cross - EPO

MVP Health Care - HMO

Healthfirst - Medicare Managed Care

AETNA - Student Health

Amida Care - Special Needs

RiverSpring

RiverSpring - Special Needs

MVP Health Care - Child/Family Health Plus

VNSNY CHOICE - SelectHealth

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General Payments

These charts describe general payments received by Dr. Jai Radhakrishnan, MD. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.

**Payments by Company**
GlaxoSmithKline, LLC.	$33,522 BENLYSTA $32,708	$814
Novartis Pharmaceuticals Corporation	$15,310 $15,310
GENZYME CORPORATION	$12,918 CABLIVI $5,628	FABRAZYME $17	$7,272
CALLIDITAS THERAPEUTICS US INC.	$10,503 TARPEYO $10,503
Amgen Inc.	$9,450 Tavneos $1,314	$8,136
Other	$55,030 PURIFIED CORTROPHIN GEL $11,432	SAMSCA $2,500	NON-PRODUCT $2,490	(9520) IGT Devices Undivided $1,440	MK-5172 $1,400	Other $35,769

**Types of Payments**
Consulting Fee	$112,061
Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program	$13,918
Honoraria	$4,494
Travel and Lodging	$3,106
Food and Beverage	$1,761
Other	$1,393

Research Payments

Dr. Jai Radhakrishnan, MD has received 172 research payments totaling $783,590.

Biography

Dr. Jai Radhakrishnan is a New York, NY physician who specializes in general practice and nephrology (kidney disease). In addition to English, Dr. Radhakrishnan (or staff) speaks Hindi. These areas are among Dr. Radhakrishnan's clinical interests: kidney stones, intensive care, and hypertension (high blood pressure). He is professionally affiliated with ColumbiaDoctors. Before performing his residency at Lincoln Medical and Mental Health Center, Dr. Radhakrishnan attended Jawaharlal Institute of Postgraduate Medical Education & Research (JIPMER) for medical school. Aetna EPO, Blue California, and Healthfirst appears to be the insurance carriers that Dr. Radhakrishnan takes. Distinctions awarded to Dr. Radhakrishnan include: New York Super Doctors; Whos Who among Americas Teachers & Educators New York Times Magazine Super Doctors; and Who's Who Among Executives and Professionals, Honors Edition. He welcomes new patients at his office inNew York, NY as reported by Yext.