Healthcare Provider Details

I. General information

NPI: 1578786919
Provider Name (Legal Business Name): APARNA B VAIKUNTH M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/11/2007
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3237 BLUE RIDGE RD
RALEIGH NC
27612-8010
US

IV. Provider business mailing address

3237 BLUE RIDGE RD
RALEIGH NC
27612-8010
US

V. Phone/Fax

Practice location:
  • Phone: 919-781-7200
  • Fax:
Mailing address:
  • Phone: 919-781-7200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number2008-00226
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: