Individual
DR. KUMARASWAMY GUTTALU KRISHNAMURTHY RAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
3400 WAKE FOREST RD, RALEIGH, NC 27609-7317
(919) 954-3000
Mailing address
3705 CANCION ST, GREENVILLE, NC 27858-6061
(330) 990-0265
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
2019-00205
NC
2084N0400X
Neurology Physician
36284
SC
2084V0102X
Vascular Neurology Physician
2019-00205
NC
Other
Enumeration date
05/07/2014
Last updated
02/13/2024
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