Alur, Radha Inagandla
Alur, Radha Inagandla is an individual health care provider with primary practice located at 2500 N State St , Jackson MS 39216. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Adolescent Medicine. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Alur, Radha Inagandla can be contacted via phone (888) 815-2005.Contact Information
Primary practice address
2500 N State St
Jackson MS 39216
Phone: (888) 815-2005
Fax: (601) 984-6439
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 24176 | Mississippi |
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | 036-110001 | Illinois |
Profile Details
| NPI number | 1548259559 |
|---|---|
| LBN Legal business name | Alur, Radha Inagandla |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 21st, 2005 |
| Last updated | Aug 10th, 2018 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1548259559 | NPPES |
| Pennsylvania | MEDICAID | 101506555 | |
| Pennsylvania | MEDICAID | 08278865 |
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