Individual
RAJ S KASTHURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBBS, MD
Contact information
Practice address
UNIVERSITY OF NORTH CAROLINA HOSPITALS, 101 MANNING DRIVE, CHAPEL HILL, NC 27599-0001
(919) 966-3311
Mailing address
UNIVERITY OF NORTH CAROLINA, CB7035, 1047 GENETIC MEDICINE BLDG, 120 MASON FARM RD, CHAPEL HILL, NC 27599-0001
(919) 966-3311
(919) 843-4896
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
44740
MN
207RH0000X
Hematology (Internal Medicine) Physician
Primary
2007-01374
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0147747
—
MT
01
—
1044848
PREFERRED ONE
MN
01
—
135164
U CARE
MN
01
—
2378190
ARAZ
MN
05
—
34802800
—
WI
01
—
36-00013
MEDICA-PRIMARY
MN
01
—
36-00611
MEDICA-CHOICE
MN
01
—
499368
FAIRVIEW
MN
01
—
B619
CHAMPUS
—
01
—
HP55120
HEALTH PARTNERS
MN
01
—
P00282875
RR MEDICARE
—
Enumeration date
10/10/2006
Last updated
04/01/2021
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