Individual
CHOLAVARDHAN KONDETI
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
300 W 27TH ST, LUMBERTON, NC 28358-3075
(910) 671-5000
Mailing address
124 OAKWOOD AVE, EDISON, NJ 08837-2311
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
RTL25-0781
NC
Other
Enumeration date
05/27/2025
Last updated
05/27/2025
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