Organization
TRIANGLE CHILDREN'S GASTROENTEROLOGY CENTER,PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEENA KANDULA MD (PEDIATRIC GASTROENTEROLOGIST)
(919) 677-8577
Entity
Organization
Contact information
Practice address
103 PARKWAY OFFICE CT, SUITE 104, CARY, NC 27518-7428
(919) 677-8577
Mailing address
103 PARKWAY OFFICE CT, SUITE 104, CARY, NC 27518-7428
(919) 677-8577
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
2007-00741
NC
Other
Enumeration date
06/16/2009
Last updated
12/18/2012
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