Andukuri, Radha

Andukuri, Radha is an individual health care provider with primary practice located at 7831 Chicago Ct , Omaha NE 68114-3654. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism. Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism is her primary health care specialty. Andukuri, Radha can be contacted via phone (402) 561-2740.

Contact Information

Primary practice address
7831 Chicago Ct Omaha NE 68114-3654
Phone: (402) 561-2740
Fax: (402) 561-2738
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 24304 Nebraska
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD39269 Iowa
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 24304 Nebraska

Profile Details

NPI number 1992921779
LBN Legal business name Andukuri, Radha
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 18th, 2007
Last updated Aug 30th, 2019 - about 7 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 1992921779 NPPES
Iowa MEDICAID 1992921779
Iowa MEDICAID 10025277100
Iowa MEDICAID 10026480118

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