Individual
DR. RAMESH BABU KONDURU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10640 DURANT RD STE 101, RALEIGH, NC 27614-6566
(919) 870-0197
(919) 870-0265
Mailing address
203 MICHELANGELO WAY, CARY, NC 27518-8716
(919) 870-0197
(919) 870-0265
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2010-00095
NC
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
2010-00095
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5919360
—
NC
Enumeration date
07/17/2008
Last updated
12/27/2023
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