Individual
UMA DEVI GADDAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3643 N ROXBORO ST FL 6, DURHAM, NC 27704-2702
(919) 470-9159
Mailing address
3643 N ROXBORO ST FL 6, DURHAM, NC 27704-2702
(919) 470-9159
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
MA054135
PA
363AM0700X
Medical Physician Assistant
Primary
MA054135
PA
Other
Enumeration date
11/25/2009
Last updated
07/21/2016
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