Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 2008-01765 | NC |
Y | 111NI0900X | Internist | 2008-01765 | NC |
N | 207RN0300X | Nephrologist | 15383R | LA |
NPI | 1063478634 |
---|---|
Provider Name | Aravind Rao Boinapally |
First Address | Durham, NC 27713-4430 |
Second Address | Raleigh, NC 27609-7317 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/04/2006 |
Last Update Date | 27/02/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1193305 | (05) | LA |
G76482 | (02) |