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Individual

DEEPA KABIRDAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
3000 NEW BERN AVE, RALEIGH, NC 27610-1231
(919) 231-6132
Mailing address
PO BOX 603949, CHARLOTTE, NC 28260-3949
(919) 350-0351
(919) 350-7687

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME100816
FL
207RC0000X
Cardiovascular Disease Physician
Primary
2012-00621
NC
207RC0000X
Cardiovascular Disease Physician
2018020852
MO
207RC0000X
Cardiovascular Disease Physician
MT194506
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
174FA
BCBS
NC
05
1780851840
NC
05
5921903
NC
Enumeration date
05/08/2008
Last updated
07/26/2022
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