Individual
DR. KAVITA VIJAYAM KANTAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2100 ERWIN RD, DURHAM, NC 27705-3941
(919) 684-8111
Mailing address
3100 SPRING FOREST RD, STE 130, RALEIGH, NC 27616-2880
(919) 882-0706
(919) 873-9821
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
2011-00578
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/22/2007
Last updated
05/02/2016
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