Akkaraju, Vidyadhar

Akkaraju, Vidyadhar is an individual health care provider with primary practice located at 2311 Kaliste Saloom Rd , Lafayette LA 70508-6807. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Akkaraju, Vidyadhar can be contacted via phone (337) 261-5151.

Contact Information

Primary practice address
2311 Kaliste Saloom Rd Lafayette LA 70508-6807
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 05386R Louisiana

Profile Details

NPI number 1689661605
LBN Legal business name Akkaraju, Vidyadhar
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2005
Last updated Oct 26th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689661605 NPPES
Louisiana MEDICAID 1311936
Louisiana Other P00133455

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