Individual
ANIL KRISHNA VASIREDDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2100 ERWIN ROAD, DURHAM, NC 27710-2621
(919) 684-8111
Mailing address
PO BOX 63362, CHARLOTTE, NC 28263-3362
(919) 684-8111
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
2024-01217
NC
Other
Enumeration date
06/11/2017
Last updated
08/06/2024
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