Individual
MAHIDHAR MIRIYALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1135 KILDAIRE FARM RD STE 200-35, CARY, NC 27511-7608
(313) 421-8350
Mailing address
1135 KILDAIRE FARM RD STE 200-35, CARY, NC 27511-7608
(313) 421-8350
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
HC7468
NC
Other
Enumeration date
08/07/2024
Last updated
08/07/2024
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