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Individual

MR. KAMLESH V ATHAVALE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2100 ERWIN RD, DURHAM, NC 27705-3941
(919) 684-8111
(919) 620-4921
Mailing address
5213 S ALSTON AVE, DURHAM, NC 27713-4430
(919) 684-8111
(919) 620-4921

Taxonomy

Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
2006-01493
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
272119800
FL
01
32197
BCBS
FL
Enumeration date
05/17/2006
Last updated
05/21/2012
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