Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207U00000X | Nuclear Medicine Specialist | 2011-01331 | NC |
NPI | 1023335775 |
---|---|
Provider Name | Dr. Vijay Yerubandi |
First Address | Durham, NC 27705-3875 |
Second Address | Durham, NC 27705-3875 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/04/2010 |
Last Update Date | 23/03/2018 |