Individual
DR. NARASIMHA SWAMY GOLLOL RAJU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4420 LAKE BOONE TRL, RALEIGH, NC 27607-7505
(919) 784-3100
Mailing address
PO BOX 751069, CHARLOTTE, NC 28275-1069
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
201301850
NC
207RG0100X
Gastroenterology Physician
Primary
2013-01850
NC
208M00000X
Hospitalist Physician
018209
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1336344977
—
NC
01
—
182MC
BCBS
NC
Enumeration date
06/15/2007
Last updated
07/31/2023
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