Individual
RADHA INAMPUDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
166 4TH ST E, SAINT PAUL, MN 55101-1421
(651) 292-2000
Mailing address
166 4TH ST E, SAINT PAUL, MN 55101-1421
(651) 292-2000
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
51372
MN
2085R0202X
Diagnostic Radiology Physician
Primary
51372
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00748815
RR MEDICARE
MN
Enumeration date
03/23/2007
Last updated
04/19/2015
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