Individual
DR. MUKESH NAUTAM KAMDAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4201 LAKE BOONE TRL, SUITE 201, RALEIGH, NC 27607-7512
(919) 785-0384
(919) 785-0038
Mailing address
4201 LAKE BOONE TRL, SUITE 201, RALEIGH, NC 27607-7512
(919) 785-0384
(919) 785-0038
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
38105
NC
2084P0805X
Geriatric Psychiatry Physician
38105
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7947786
—
NC
05
—
MA891193G
—
NC
Enumeration date
06/13/2006
Last updated
11/05/2007
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