Individual
VIJAYA N POLAVARAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10640 DURANT RD, STE 101, RALEIGH, NC 27614-6565
(919) 870-0197
(919) 870-0265
Mailing address
203 RUNNING CREEK RD, RALEIGH, NC 27511
(919) 870-0197
(919) 870-0265
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
9901226
NC
Other
Enumeration date
02/09/2007
Last updated
04/18/2008
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