Individual
SHANKAR PRAHARAJU GIRIJA GIRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
2500 NORTH STATE STREET, UNIVERSITY OF MS MEDICAL CENTER-RADIATION ONCOLOGY, JACKSON, MS 39216-4505
(601) 815-7652
(601) 815-6876
Mailing address
2500 NORTH STATE STREET, UNIVERSITY OF MISSISSIPPI MEDICAL CENTER -RADIATION ONC, JACKSON, MS 39216-4505
(601) 815-7652
(601) 815-6876
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
0101031794
VA
2085R0001X
Radiation Oncology Physician
Primary
21834
MS
2085R0001X
Radiation Oncology Physician
R7A15
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08255715
—
MS
Enumeration date
08/19/2006
Last updated
05/31/2025
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