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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326088741 | NPPES |
| Indiana | Other | 000000378480 | ANTHEM PIN |
| Indiana | MEDICAID | 200382560 | ANTHEM PIN |
| Indiana | Other | 036070307 | ANTHEM PIN |
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