Individual
DR. KRIS MICHAEL MAHADEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2400 PRATT ST, DURHAM, NC 27705-3976
(919) 668-1100
Mailing address
2400 PRATT ST FL 8, DURHAM, NC 27705-3976
(918) 668-1100
Taxonomy
Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
245769-1
NY
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
R1984
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
371296001
—
TX
05
—
371296002
—
TX
Enumeration date
04/19/2010
Last updated
11/02/2023
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