Individual
DR. VIJAYATHA C GUNDARAPU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4420 LAKE BOONE TRL, RALEIGH, NC 27607-6599
(919) 784-7093
(919) 784-7395
Mailing address
4420 LAKE BOONE TRL, RALEIGH, NC 27607-6599
(919) 784-7093
(919) 784-7395
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2008-00164
NC
207R00000X
Internal Medicine Physician
248140-1
NY
208M00000X
Hospitalist Physician
Primary
2008-00164
NC
Other
Enumeration date
05/01/2008
Last updated
07/29/2024
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