| Dr Radha Inagandla Alur, MD | |
|
2500 N State St, Jackson, MS 39216 | |
| (888) 815-2005 | |
| (601) 984-6439 |
| Full Name | Dr Radha Inagandla Alur |
|---|---|
| Gender | Female |
| Speciality | Hospitalist |
| Location | 2500 N State St, Jackson, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548259559 | NPI | - | NPPES |
| 101506555 | Medicaid | PA | |
| 08278865 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208M00000X | Hospitalist | 24176 (Mississippi) | Primary |
| 2080A0000X | Pediatrics - Adolescent Medicine | 036-110001 (Illinois) | Secondary |
| Entity Name | Penn State Health Community Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861988644 PECOS PAC ID: 8729351077 Enrollment ID: O20170907002279 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Radha Inagandla Alur, MD 2500 N State St, Jackson, MS 39216-4500 Ph: (601) 825-7280 | Dr Radha Inagandla Alur, MD 2500 N State St, Jackson, MS 39216 Ph: (888) 815-2005 |
Dr. Mary Moses Hitt, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 971 Lakeland Dr Ste 356, Jackson, MS 39216 Phone: 601-200-4644 Fax: 601-200-4645 | |
Seema Ahuja Mckenzie, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-1000 | |
Ehsan-ullah Khan Durrani, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 2500 N State Street, Jackson, MS 39216 Phone: 601-815-2869 Fax: 601-815-9356 | |
Brianna Arrington, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 1225 N State St, Jackson, MS 39202 Phone: 601-988-5281 Fax: 601-974-6241 | |
Zackary Atom Charles Knott, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-5532 Fax: 601-984-6665 | |
John D Wofford Jr., M.D. Hospitalist Medicare: Medicare Enrolled Practice Location: 2500 N State St, Dept Of Medicine Division Of General Internal Med, Jackson, MS 39216 Phone: 601-984-5660 Fax: 601-984-6870 | |
David Wayne Riem Jr., MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-5604 Fax: 601-984-6665 |