Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0100X | Gastroenterologist | 2013-00102 | NC |
NPI | 1003196353 |
---|---|
Provider Name | Dr. Vineet Korrapati |
First Address | Salisbury, NC 28144-2705 |
Second Address | Salisbury, NC 28144-2558 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/08/2011 |
Last Update Date | 18/03/2020 |