Individual
KALYAN SRINIVAS MUPPAVARAPU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
905 JOHNS HOPKINS DR, GREENVILLE, NC 27834-2056
(252) 744-1406
(252) 744-4243
Mailing address
PO BOX 751069, CHARLOTTE, NC 28275-1069
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
2017-00099
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1902048697
—
NC
01
—
19R5V
BCBS OF NC
NC
01
—
NCX9900322
MEDICARE
NC
Enumeration date
03/27/2009
Last updated
10/10/2025
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