Reddy, Vijaya Kumar Konda

Reddy, Vijaya Kumar Konda is an individual health care provider with primary practice located at 2100 Erwin Rd , Durham NC 27705-3941. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as his primary health care specialty. Reddy, Vijaya Kumar Konda can be contacted via phone (919) 684-8111.

Contact Information

Primary practice address
2100 Erwin Rd Durham NC 27705-3941
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 200000945 North Carolina

Profile Details

NPI number 1013996651
LBN Legal business name Reddy, Vijaya Kumar Konda
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 12th, 2006
Last updated Nov 19th, 2012 - about 12 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 1013996651 NPPES
North Carolina Other 135TG BCBS
North Carolina MEDICAID 89135TG BCBS

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