Individual
KAVYA KANNAMMA KANNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.B.B.S; MD
Contact information
Practice address
1010 BETHESDA CT, WINSTON SALEM, NC 27103-3019
(336) 277-8800
(336) 277-8850
Mailing address
PO BOX 935983, ATLANTA, GA 31193-5983
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
2023-01829
NC
207RH0003X
Hematology & Oncology Physician
A175955
CA
207RX0202X
Medical Oncology Physician
Primary
2023-01829
NC
Other
Enumeration date
05/23/2016
Last updated
07/11/2024
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