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Individual
DR. REVELLA BENDU HARMON
Active
Individual
DR. REVELLA BENDU HARMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
200000065
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
127JU
BLUE CROSS BLUE SHIELD
NC
05
—
1851334163
—
NC
01
—
202242698
TRICARE
—
01
—
2384012
UNITED HEALTH CARE
NC
01
—
B1393
MEDCOST
NC
Enumeration date
06/14/2006
Last updated
01/09/2024
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