Individual
DR. VENGAMAMBA POLU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MB,BS
Contact information
Practice address
701 DOCTORS DR STE D, KINSTON, NC 28501-1584
(252) 559-2200
Mailing address
912 WICKHAM DR, WINTERVILLE, NC 28590-9905
(607) 282-0572
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
201301694
NC
Other
Enumeration date
07/13/2010
Last updated
12/28/2019
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