Provider Demographics
NPI:1801526710
Name:NJARAVELIL, KRISTI ANN (DO)
Entity type:Individual
Prefix:
First Name:KRISTI
Middle Name:ANN
Last Name:NJARAVELIL
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7024 BURNETT WOMACK BUILDING CB#7155
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27599-1110
Mailing Address - Country:US
Mailing Address - Phone:919-344-6174
Mailing Address - Fax:
Practice Address - Street 1:7024 BURNETT WOMACK BUILDING CB#7155
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27599-1110
Practice Address - Country:US
Practice Address - Phone:919-445-2647
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-14
Last Update Date:2025-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2025-01847207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty