Vanukuri, Radha
Vanukuri, Radha is an individual health care provider with primary practice located at 931 North Canal Blvd , Thibodaux LA 70301. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Vanukuri, Radha can be contacted via phone (985) 446-6381.Contact Information
Primary practice address
931 North Canal Blvd
Thibodaux LA 70301
Phone: (985) 446-6381
Fax: (985) 446-5992
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD.204091 | Louisiana |
Profile Details
| NPI number | 1316131196 |
|---|---|
| LBN Legal business name | Vanukuri, Radha |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 5th, 2007 |
| Last updated | Feb 6th, 2013 - about 11 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 | 1316131196 | NPPES |
| Louisiana | MEDICAID | 1007455 |
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