| Mr Kamlesh V Athavale, MD | |
|
2100 Erwin Rd, Durham, NC 27705-3941 | |
| (919) 684-8111 | |
| (919) 620-4921 |
| Full Name | Mr Kamlesh V Athavale |
|---|---|
| Gender | Male |
| Speciality | Pediatrics - Neonatal-perinatal Medicine |
| Location | 2100 Erwin Rd, Durham, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659323319 | NPI | - | NPPES |
| 32197 | Other | FL | BCBS |
| 272119800 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2080N0001X | Pediatrics - Neonatal-perinatal Medicine | 2006-01493 (North Carolina) | Primary |
| Entity Name | Duke Health Integrated Practice Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205553369 PECOS PAC ID: 8325412737 Enrollment ID: O20230327002247 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Kamlesh V Athavale, MD 5213 S Alston Ave, Durham, NC 27713-4430 Ph: (919) 684-8111 | Mr Kamlesh V Athavale, MD 2100 Erwin Rd, Durham, NC 27705-3941 Ph: (919) 684-8111 |
Candice Marlow Ray, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2301 Erwin Rd, Durham, NC 27710 Phone: 919-684-8111 | |
Vinod Prasad, Pediatrics Medicare: Medicare Enrolled Practice Location: 2100 Erwin Rd, Durham, NC 27710 Phone: 919-620-4467 | |
Michelle Bailey, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: Duke University Medical Ctr, Durham, NC 27710 Phone: 919-620-4467 | |
Naseem Alavian, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2301 Erwin Rd, Durham, NC 27705 Phone: 919-684-8111 | |
Anna Ruderman, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4022 Freedom Lake Dr, Durham, NC 27704 Phone: 919-477-2202 | |
Dr. Vijaya Kumar Konda Reddy, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2100 Erwin Rd, Durham, NC 27705 Phone: 919-684-8111 | |
May Kuo Slowik, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4101 N Roxboro St, Durham, NC 27704 Phone: 919-684-8111 |