Dr Soma Johnkutty, MD | |
7011 Fayetteville Rd Ste 210, Durham, NC 27713-7745 | |
(919) 806-3335 | |
(984) 215-2381 |
Full Name | Dr Soma Johnkutty |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 7011 Fayetteville Rd Ste 210, Durham, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073626974 | NPI | - | NPPES |
5908436 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 225042 (New York) | Secondary |
208000000X | Pediatrics | 2006-01100 (North Carolina) | Primary |
Entity Name | Unc Physicians Network Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750704367 PECOS PAC ID: 5496940546 Enrollment ID: O20101115000646 |
Mailing Address | Practice Location Address |
---|---|
Dr Soma Johnkutty, MD 2000 Perimeter Park Dr Ste 200, Morrisville, NC 27560-8442 Ph: () - | Dr Soma Johnkutty, MD 7011 Fayetteville Rd Ste 210, Durham, NC 27713-7745 Ph: (919) 806-3335 |
Candice Marlow Ray, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2301 Erwin Rd, Durham, NC 27710 Phone: 919-684-8111 | |
Vinod Prasad, Pediatrics Medicare: Medicare Enrolled Practice Location: 2100 Erwin Rd, Durham, NC 27710 Phone: 919-620-4467 | |
Michelle Bailey, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: Duke University Medical Ctr, Durham, NC 27710 Phone: 919-620-4467 | |
Dr. Vijaya Kumar Konda Reddy, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2100 Erwin Rd, Durham, NC 27705 Phone: 919-684-8111 | |
May Kuo Slowik, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4101 N Roxboro St, Durham, NC 27704 Phone: 919-684-8111 | |
Dwight Dudley Koeberl, Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 2100 Erwin Rd, Durham, NC 27710 Phone: 919-620-4467 | |
Ira Cheifetz, M.D Pediatrics Medicare: Medicare Enrolled Practice Location: 2100 Erwin Rd, Durham, NC 27710 Phone: 919-620-4467 |