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Individual

RADHA ANDUKURI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
7831 CHICAGO CT, OMAHA, NE 68114-3654
(402) 561-2740
(402) 561-2738
Mailing address
PO BOX 3755, OMAHA, NE 68103-0755
(402) 354-2100
(402) 354-2155

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
24304
NE
207R00000X
Internal Medicine Physician
MD39269
IA
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
24304
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10025277100
NE
05
10026480118
NE
05
1992921779
IA
Enumeration date
04/18/2007
Last updated
08/30/2019
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