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General NPI Number Information
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NPI Number | 1851405369
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Entity Type | Individual
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Provider Name | SHANKAR PRAHARAJU GIRIJA GIRI M.D
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Gender | Male
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Dates
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Enumeration Date | 08/19/2006
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Last Update Date | 05/31/2025
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Provider Practice Location Address
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Address Line | 2500 NORTH STATE STREET UNIVERSITY OF MS MEDICAL CENTER-RADIATION ONCOLOGY
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City | JACKSON
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State | MS
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Zip | 39216-4505
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Country | US
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Telephone | 601-815-7652
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Fax | 601-815-6876
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Provider Business Mailing Address
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Address Line | 2500 NORTH STATE STREET UNIVERSITY OF MISSISSIPPI MEDICAL CENTER -RADIATION ONC
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City | JACKSON
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State | MS
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Zip | 39216-4505
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Country | US
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Telephone | 601-815-7652
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Fax | 601-815-6876
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | 0101031794
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | R7A15
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | 21834
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License Number State | MS
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