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Individual

HARI KIRAN KUNCHA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1051 PEMBERTON HILL RD, SUITE # 102, APEX, NC 27502-4267
(919) 335-0911
(919) 362-6911
Mailing address
1051 PEMBERTON HILL RD, SUITE # 102, APEX, NC 27502-4267
(919) 335-0911
(919) 362-6911

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
200401089
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
138TJ
BCBS
NC
05
89138TJ
NC
Enumeration date
05/25/2006
Last updated
10/28/2008
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