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Individual

MADHURI V VITHALA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
215 BRIGHTWATER DR STE 100, LILLINGTON, NC 27546-5156
(910) 984-3080
(910) 615-9776
Mailing address
PO BOX 40908, FAYETTEVILLE, NC 28309-0908
(910) 615-6949
(910) 615-9761

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
2010-01415
NC
207RX0202X
Medical Oncology Physician
Primary
2010-01415
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1982651691
NC
01
38014
CONTROLLED SUSTANCE REG
CT
01
P00393630
RAILROAD MEDICARE
CT
Enumeration date
05/28/2006
Last updated
04/17/2026
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