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Individual

DR. CHANDROTH VELANDY PURUSHOTHAMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
212 PENNY LN, MOREHEAD CITY, NC 28557-4305
(252) 247-5426
(252) 247-0287
Mailing address
212 PENNY LN, MOREHEAD CITY, NC 28557-4305
(252) 247-5426
(252) 247-0287

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
26352
NC

Other

Enumeration date
01/17/2007
Last updated
04/22/2008
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