Alur, Radha Inagandla

Alur, Radha Inagandla is an individual health care provider with primary practice located at 2500 N State St , Jackson MS 39216. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Adolescent Medicine. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Alur, Radha Inagandla can be contacted via phone (888) 815-2005.

Contact Information

Primary practice address
2500 N State St Jackson MS 39216
Phone: (888) 815-2005
Fax: (601) 984-6439
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 24176 Mississippi
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 036-110001 Illinois

Profile Details

NPI number 1548259559
LBN Legal business name Alur, Radha Inagandla
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 21st, 2005
Last updated Aug 10th, 2018 - about 8 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 1548259559 NPPES
Pennsylvania MEDICAID 101506555
Pennsylvania MEDICAID 08278865

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