Individual
DR. VIJAYA KUMAR KONDA REDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2100 ERWIN RD, DURHAM, NC 27705-3941
(919) 684-8111
Mailing address
5213 S ALSTON AVE, DURHAM, NC 27713-4430
(919) 684-8111
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
200000945
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
135TG
BCBS
NC
05
—
89135TG
—
NC
Enumeration date
01/12/2006
Last updated
11/19/2012
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