Individual
VIKRAM REDDY PENUMALLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
912 THIRD STREET, SUITE 101, GREENSBORO, NC 27405-6967
(336) 273-2511
(336) 370-0287
Mailing address
PO BOX 29568, GREENSBORO, NC 27429-9568
(336) 273-2511
(336) 370-0287
Taxonomy
Speciality
Code
Description
License number
State
2084D0003X
Diagnostic Neuroimaging (Psychiatry & Neurology) Physician
Primary
2010-01353
NC
Other
Enumeration date
12/01/2008
Last updated
09/20/2021
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