Provider Demographics
NPI:1982668018
Name:ALAHARI, KANAKA DURGA (MD)
Entity Type:Individual
Prefix:DR
First Name:KANAKA DURGA
Middle Name:
Last Name:ALAHARI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1514 JEFFERSON HWY
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70121-2429
Mailing Address - Country:US
Mailing Address - Phone:504-842-4000
Mailing Address - Fax:
Practice Address - Street 1:25455 HIGHWAY 1
Practice Address - Street 2:
Practice Address - City:PLAQUEMINE
Practice Address - State:LA
Practice Address - Zip Code:70764-7513
Practice Address - Country:US
Practice Address - Phone:225-754-6870
Practice Address - Fax:225-754-6805
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-14
Last Update Date:2020-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC200000696208000000X
NC200554162208000000X
LAMD.201072208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC891325RMedicaid
NCH80852Medicare UPIN