Individual
DR. EDAVALLY NARAYAN REDDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
550 NEW WAVERLY PL, SUITE 120, CARY, NC 27511-7412
(919) 233-6614
(919) 233-6615
Mailing address
103 GAMBARDELLI CT, CARY, NC 27519-9549
(919) 319-4398
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
98-00854
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
690192C
—
NC
Enumeration date
05/30/2006
Last updated
07/03/2014
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