Individual
DR. MANOJ BOBBY SUBBARAO WUNNAVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5322 HIGHGATE DR STE 143, DURHAM, NC 27713
(984) 464-7972
(919) 591-0567
Mailing address
5322 HIGHGATE DR STE 143, DURHAM, NC 27713-6633
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
2009-00892
NC
207LP2900X
Pain Medicine (Anesthesiology) Physician
2009-00892
NC
208VP0014X
Interventional Pain Medicine Physician
Primary
2009-00892
NC
Other
Enumeration date
01/02/2008
Last updated
05/15/2018
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