Individual
RAVI KIRAN MALLAVARAPU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1210 CAPSTONE DR, DURHAM, NC 27713-7293
(919) 966-2561
Mailing address
1210 CAPSTONE DR, DURHAM, NC 27713-7293
(199) 662-5619
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
2013-02240
NC
207RN0300X
Nephrology Physician
61484
GA
207RN0300X
Nephrology Physician
84787
SC
Other
Enumeration date
11/09/2007
Last updated
03/19/2024
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