Individual
DR. KAPPA M PEDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1330 OAK LN, SUITE 101, LYNCHBURG, VA 24503
(434) 847-6132
(434) 845-4870
Mailing address
1330 OAK LN, SUITE 101, LYNCHBURG, VA 24503-2513
(434) 847-6132
(434) 845-4870
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
0101225823
VA
207ND0900X
Dermatopathology Physician
0101225823
VA
207NI0002X
Clinical & Laboratory Dermatological Immunology Physician
0101225823
VA
207NP0225X
Pediatric Dermatology Physician
0101225823
VA
207NS0135X
Procedural Dermatology Physician
0101225823
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070015463
MEDICARE RAILROAD
VA
01
—
216440
ANTHEM
VA
01
—
310025
SOUTHERN HEALTH
VA
01
—
541667390
TAX ID
VA
05
—
5901839
—
VA
01
—
8152058
CIGNA
VA
Enumeration date
05/22/2006
Last updated
08/07/2018
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