Individual
KAVITTA BAMAN ALLEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10010 FALLS OF NEUSE RD STE 106, RALEIGH, NC 27614-8495
(919) 235-6450
(919) 350-7204
Mailing address
10790 RANCHO BERNARDO RD, SAN DIEGO, CA 92127-5705
(760) 704-5795
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
2012-00472
NC
207RR0500X
Rheumatology Physician
Primary
A125319
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1588891022
—
NC
Enumeration date
06/11/2009
Last updated
08/23/2021
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