Individual
DR. NIKUNJ WASUDEV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3949 BROWNING PL, RALEIGH, NC 27609-6504
(919) 788-7411
(919) 789-4461
Mailing address
3949 BROWNING PL, RALEIGH, NC 27609-6504
(919) 788-7411
(919) 789-4461
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
2007-00682
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2067047
MEDICARE
NC
01
—
2067047A
MEDICARE
NC
01
—
2067047B
MEDICARE
NC
Enumeration date
08/24/2006
Last updated
09/16/2010
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