Dr Tida Kumbalasiri Lee, MD, PHD | |
1000 Brabham Ave, Jacksonville, NC 28546-5003 | |
(910) 937-2570 | |
(910) 219-1270 |
Full Name | Dr Tida Kumbalasiri Lee |
---|---|
Gender | Female |
Speciality | Internal Medicine - Infectious Disease |
Location | 1000 Brabham Ave, Jacksonville, 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 |
---|---|---|---|
1619105517 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RI0200X | Internal Medicine - Infectious Disease | 0101248380 (Virginia) | Secondary |
207RI0200X | Internal Medicine - Infectious Disease | 2022-02736 (North Carolina) | Primary |
Entity Name | Wilmington Health Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881632339 PECOS PAC ID: 6103722509 Enrollment ID: O20031208000800 |
Mailing Address | Practice Location Address |
---|---|
Dr Tida Kumbalasiri Lee, MD, PHD 1202 Medical Center Dr, Wilmington, NC 28401-7307 Ph: (910) 617-6705 | Dr Tida Kumbalasiri Lee, MD, PHD 1000 Brabham Ave, Jacksonville, NC 28546-5003 Ph: (910) 937-2570 |
Dr. Garrett L Rogers, M.D. Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 3080 Henderson Dr, Jacksonville, NC 28546 Phone: 910-353-3000 Fax: 910-238-4456 | |
Dr. Ibikunle Adeola Ojebuoboh, M.D. Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 22 Office Park Dr, Jacksonville, NC 28546 Phone: 910-219-4070 Fax: 910-219-4071 | |
Dr. Abayomi W. Osunkoya, M.D. Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 25 Office Park Dr, Jacksonville, NC 28546 Phone: 910-353-4878 Fax: 910-353-2258 | |
Khye Sheng Andrei Leong, M.D. Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 152 Memorial Ct, Jacksonville, NC 28546 Phone: 910-353-3200 Fax: 910-353-0600 | |
Dr. Koithara Varkey Thomas, M.D. Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: Eastern Nephrology Associates, 277 Memorial Drive, Jacksonville, NC 28546 Phone: 910-346-2263 Fax: 910-353-0549 | |
Dr. Seth James Trifiro, M.D. Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 4275 Western Blvd, Jacksonville, NC 28546 Phone: 910-938-3099 Fax: 910-938-3243 | |
Mr. Earlie T Johnson Jr., M.D. Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 2580 Henderson Dr, Jacksonville, NC 28546 Phone: 910-346-1188 Fax: 910-346-1275 |