Individual
KADIYALA V RAVINDRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
40 DUKE MEDICINE CIR, DURHAM, NC 27710-4000
(919) 684-8111
Mailing address
5213 S ALSTON AVE, DURHAM, NC 27713-4430
(919) 684-8111
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2009-01725
NC
208600000X
Surgery Physician
39528
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200540280
—
IN
01
—
50007766
PASSPORT
KY
05
—
64105547
—
KY
Enumeration date
01/12/2006
Last updated
05/11/2012
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