Provider Demographics
NPI:1659532992
Name:KAGGERE, THEJASWINI KEMPANANJAPPA (MD)
Entity Type:Individual
Prefix:
First Name:THEJASWINI
Middle Name:KEMPANANJAPPA
Last Name:KAGGERE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2809 MCLAMB PL
Mailing Address - Street 2:
Mailing Address - City:GOLDSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27534-1647
Mailing Address - Country:US
Mailing Address - Phone:919-580-9840
Mailing Address - Fax:919-580-9838
Practice Address - Street 1:2809 MCLAMB PL
Practice Address - Street 2:
Practice Address - City:GOLDSBORO
Practice Address - State:NC
Practice Address - Zip Code:27534-1647
Practice Address - Country:US
Practice Address - Phone:919-580-9840
Practice Address - Fax:919-580-9838
Is Sole Proprietor?:No
Enumeration Date:2008-06-19
Last Update Date:2013-09-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC201000488207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology