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Individual

DR. SWARUPA KANCHERLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
600 N WOLFE ST, BALTIMORE, MD 21287-0005
(410) 955-5214
Mailing address
3320 EXECUTIVE DR, STE 111, RALEIGH, NC 27609-7445

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
125063328
IL
207W00000X
Ophthalmology Physician
Primary
2018-01658
NC
207W00000X
Ophthalmology Physician
D0083351
MD
390200000X
Student in an Organized Health Care Education/Training Program
RS2016-0587
NM

Other

Enumeration date
06/25/2013
Last updated
06/29/2018
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