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Individual

NAGASAYANA RAO KOTHAPALLI

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
315 EAST 3RD STREET, SILER CITY, NC 27344
(919) 663-3161
(919) 663-2212
Mailing address
PO BOX 767, SILER CITY, NC 27344
(919) 663-3161
(919) 663-2212

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
24169
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
50236
BCBS
05
8950236
NC
Enumeration date
01/13/2006
Last updated
07/08/2007
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