Kavuru, Bush

Kavuru, Bush is an individual health care provider with primary practice located at 1705 Tarboro St Sw , Wilson NC 27893-3428. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Kavuru, Bush can be contacted via phone (252) 399-8040.

Contact Information

Primary practice address
1705 Tarboro St Sw Wilson NC 27893-3428
Phone: (252) 399-8040
Fax: (252) 399-8829
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 97-01789 North Carolina
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 0101-242842 Virginia

Profile Details

NPI number 1861451247
LBN Legal business name Kavuru, Bush
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2006
Last updated Aug 12th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861451247 NPPES
North Carolina MEDICAID 891157U

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