Individual
DR. KIRAN K JAGARLAMUDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1809 BRENNER AVE, SUITE 102, SALISBURY, NC 28144-2558
(704) 633-7220
(704) 647-0515
Mailing address
611 MOCKSVILLE AVE, SALISBURY, NC 28144-2705
(704) 633-7220
(704) 647-0515
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
2007-00803
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
59-06943
—
NC
Enumeration date
04/06/2006
Last updated
03/18/2020
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