Individual
DR. KAVITA S PERSAUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5919 OLEANDER DR STE 109, WILMINGTON, NC 28403-4757
(910) 799-5508
(910) 202-0654
Mailing address
6300 SHINNCREEK LN, WILMINGTON, NC 28409-2152
(910) 799-5508
(910) 202-0654
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
200100271
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
130FG
BCBS
NC
Enumeration date
07/11/2006
Last updated
12/13/2011
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