Individual
KIRAN KUMAR LANKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
600 MOYE BLVD, GREENVILLE, NC 27834-4300
(252) 744-2335
(252) 744-3811
Mailing address
PO BOX 751069, CHARLOTTE, NC 28275-1069
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2014-01750
NC
2080N0001X
Neonatal-Perinatal Medicine Physician
2014-01750
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1619106986
—
NC
01
—
1890J
BCBS OF NC
NC
01
—
NCQ4130322
MEDICARE
NC
Enumeration date
07/08/2009
Last updated
04/10/2018
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