Individual
RADHAMANI KANNAIYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.,
Contact information
Practice address
2100 STANTONSBURG RD, GREENVILLE, NC 27834-2818
(520) 548-7894
Mailing address
2100 STANTONSBURG RD, GREENVILLE, NC 27834-2818
(520) 548-7894
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
R75315
AZ
Other
Enumeration date
06/29/2015
Last updated
05/11/2021
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