Jaladi, Radhika

Jaladi, Radhika is an individual health care provider with primary practice located at 12303 De Paul Dr , Bridgeton MO 63044-2512. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Jaladi, Radhika can be contacted via phone (314) 317-0600.

Contact Information

Primary practice address
12303 De Paul Dr Bridgeton MO 63044-2512
Phone: (314) 317-0600
Fax: (314) 317-0606
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 2005000360 Missouri
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 2005000360 Missouri

Profile Details

NPI number 1376516302
LBN Legal business name Jaladi, Radhika
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2006
Last updated May 8th, 2014 - about 10 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 1376516302 NPPES
Illinois MEDICAID 1376516302
Illinois MEDICAID 209442508

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