Individual
KAVYA EDAVALLY REDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3000 NEW BERN AVE, RALEIGH, NC 27610-1231
(919) 350-7000
Mailing address
1121 SITUS CT STE 170, RALEIGH, NC 27606-4279
(919) 834-2767
(919) 834-0234
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
2018-00612
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/30/2012
Last updated
04/03/2018
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