Individual
PRAVEEN NAMIREDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
23 SUNNYBROOK RD STE 220, RALEIGH, NC 27610-1855
(919) 350-8000
Mailing address
PO BOX 603949, CHARLOTTE, NC 28260-3949
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2015-01344
NC
207RH0003X
Hematology & Oncology Physician
Primary
2015-01344
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1851679237
—
NC
Enumeration date
08/02/2011
Last updated
09/14/2023
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