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NPI Code Detail

MEDICARE: SHANKAR PRAHARAJU GIRIJA GIRI M.D

MEDICARE:   SHANKAR PRAHARAJU GIRIJA GIRI  M.D
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12085R0001XRadiation Oncology Physician0101031794VA
22085R0001XRadiation Oncology PhysicianR7A15MO
32085R0001XRadiation Oncology Physician21834MS

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1851405369
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHANKAR PRAHARAJU GIRIJA GIRI M.D
Provider Business Mailing Address
First Line : 2500 NORTH STATE STREET
Second Line : UNIVERSITY OF MISSISSIPPI MEDICAL CENTER -RADIATION ONC
City : JACKSON
State : MS
Zip : 39216-4505
Country : US
Telephone Number : 601-815-7652
Fax Number : 601-815-6876
Provider Business Practice Location Address
First Line : 2500 NORTH STATE STREET
Second Line : UNIVERSITY OF MS MEDICAL CENTER-RADIATION ONCOLOGY
City : JACKSON
State : MS
Zip : 39216-4505
Country : US
Telephone Number : 601-815-7652
Fax Number : 601-815-6876
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/19/2006
Last Update Date : 05/31/2025

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