Podugu, Radha
Podugu, Radha is an individual health care provider with primary practice located at 2600 Tuscarawas St W Suite#500, Canton OH 44708-4644. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Podugu, Radha can be contacted via phone (330) 452-8858.Contact Information
Primary practice address
2600 Tuscarawas St W Suite#500
Canton OH 44708-4644
Phone: (330) 452-8858
Fax: (330) 452-7797
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 35071855P | Ohio |
Profile Details
| NPI number | 1780653634 |
|---|---|
| LBN Legal business name | Podugu, Radha |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 14th, 2006 |
| Last updated | Apr 12th, 2022 - about 2 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 | 1780653634 | NPPES |
| Ohio | MEDICAID | 2017936 |
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