Individual
RADHAKRISHNA BALIGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1315 JEFFERSON HWY, NEW ORLEANS, LA 70121-2406
(504) 842-3900
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
2080P0210X
Pediatric Nephrology Physician
13689
MS
2080P0210X
Pediatric Nephrology Physician
Primary
MD.05179R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00112700
—
MS
05
—
1305723
—
LA
Enumeration date
06/12/2006
Last updated
05/22/2014
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