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Individual

DR. KRISHNA REDDY BHAGHAYATH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
120 CHARLES ROLLINS RD, SUITE 206, HENDERSON, NC 27536-2882
(252) 436-6240
(252) 492-5707
Mailing address
120 CHARLES ROLLINS RD, SUITE 206, HENDERSON, NC 27536-2882
(252) 436-6240
(252) 492-5707

Taxonomy

Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
12642
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
30205244
NH
05
3078651
NH
Enumeration date
09/07/2006
Last updated
07/02/2014
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