Individual
DR. RITESH POUDYAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1620 GUESS RD, DURHAM, NC 43613
(919) 286-5742
Mailing address
1620 GUESS RD, DURHAM, NC 27701
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5501
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000542611
ANTHEM BCBS
OH
05
—
2746774
—
OH
Enumeration date
05/08/2007
Last updated
07/07/2010
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