Provider Demographics
NPI:1467618488
Name:R & R PEDIATRICS, PLLC
Entity Type:Organization
Organization Name:R & R PEDIATRICS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLO PROPRITOR
Authorized Official - Prefix:
Authorized Official - First Name:RAVEENDRA
Authorized Official - Middle Name:BABU
Authorized Official - Last Name:ORUGUNTA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:919-367-9833
Mailing Address - Street 1:3100 NC HIGHWAY 55
Mailing Address - Street 2:SUITE 202
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27519-8426
Mailing Address - Country:US
Mailing Address - Phone:919-367-9833
Mailing Address - Fax:919-367-9832
Practice Address - Street 1:3100 NC HIGHWAY 55
Practice Address - Street 2:SUITE 202
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27519-8426
Practice Address - Country:US
Practice Address - Phone:919-367-9833
Practice Address - Fax:919-367-9832
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-29
Last Update Date:2008-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2005-00410208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty