Provider Demographics
NPI:1316067754
Name:VADLAMUDI, RAJA SEKHAR (MD, MPH,)
Entity type:Individual
Prefix:DR
First Name:RAJA
Middle Name:SEKHAR
Last Name:VADLAMUDI
Suffix:
Gender:M
Credentials:MD, MPH,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:929 KILDAIRE FARM RD
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27511-3922
Mailing Address - Country:US
Mailing Address - Phone:919-783-4888
Mailing Address - Fax:919-783-4887
Practice Address - Street 1:929 KILDAIRE FARM RD
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27511-3922
Practice Address - Country:US
Practice Address - Phone:919-783-4888
Practice Address - Fax:919-783-4887
Is Sole Proprietor?:No
Enumeration Date:2007-03-30
Last Update Date:2023-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2010-00538207R00000X, 208M00000X, 207RG0100X
VA0101260004207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1316067754Medicaid
145JXOtherBCBS
9571069OtherAETNA
NC5906677Medicaid
810608OtherPARTNERS
WV3810009017Medicaid
199216OtherMEDCOST
SCQ0089GMedicaid
NCP00435412Medicare PIN
9571069OtherAETNA