Tatineni, Radha S

Tatineni, Radha S is an sole proprietor health care provider with primary practice located at 2015 Maxwell Ave , Evansville IN 47711-4359. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Tatineni, Radha S can be contacted via phone (812) 422-7974.

Contact Information

Primary practice address
2015 Maxwell Ave Evansville IN 47711-4359
Phone: (812) 422-7974
Fax: (812) 422-8163
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 01041148A Indiana

Profile Details

NPI number 1326088741
LBN Legal business name Tatineni, Radha S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 7th, 2006
Last updated Sep 17th, 2010 - about 14 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 1326088741 NPPES
Indiana Other 000000378480 ANTHEM PIN
Indiana MEDICAID 200382560 ANTHEM PIN
Indiana Other 036070307 ANTHEM PIN

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