Individual
DR. RADHA INAGANDLA ALUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216
(888) 815-2005
(601) 984-6439
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 825-7280
(601) 825-8130
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
036-110001
IL
208M00000X
Hospitalist Physician
Primary
24176
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08278865
—
MS
05
—
101506555
—
PA
Enumeration date
10/21/2005
Last updated
08/10/2018
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