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Individual

VISHNUKAMAL GOLLA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
508 FULTON ST, DURHAM, NC 27705-3875
(919) 286-0411
Mailing address
6001 FRONT ROYAL DR, AUSTIN, TX 78746-7262
(512) 963-7961

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
2021-00495
NC
390200000X
Student in an Organized Health Care Education/Training Program
CA

Other

Enumeration date
03/26/2015
Last updated
10/10/2025
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