Individual
ATHAVI JEEVANANTHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 TRENT DRIVE, BAKER HOUSE ROOM 310A, DUMC 3021, DURHAM, NC 27710-3806
(919) 684-8111
Mailing address
200 TRENT DR, BAKER HOUSE ROOM 310A, DUMC BOX 3021, DURHAM, NC 27710-3037
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
125074303
IL
Other
Enumeration date
04/11/2019
Last updated
06/23/2022
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