Individual
DR. RADHA KRISHNA RAO VEGUNTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
820 4TH ST N, FARGO, ND 58102-4539
(701) 234-6161
Mailing address
820 4TH ST N, FARGO, ND 58102-4539
(701) 234-6161
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125060362
IL
207RH0003X
Hematology & Oncology Physician
Primary
14538
ND
Other
Enumeration date
08/01/2011
Last updated
07/21/2022
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