Provider Demographics
NPI:1639177207
Name:ORUGUNTA, RAVEENDRA BABU (MD)
Entity Type:Individual
Prefix:DR
First Name:RAVEENDRA
Middle Name:BABU
Last Name:ORUGUNTA
Suffix:
Gender:M
Credentials:MD
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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
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-08
Last Update Date:2008-07-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC2005-00410208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics