Individual
JANARDHANA RAO JONNALAGADDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2016 NEW GARDEN RD, SUITE C, GREENSBORO, NC 27410-2497
(336) 541-8111
(855) 427-6593
Mailing address
2016 NEW GARDEN RD, SUITE C, GREENSBORO, NC 27410-2497
(336) 541-8111
(855) 427-6593
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
2005-01663
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5902239
—
NC
Enumeration date
06/07/2006
Last updated
08/07/2015
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