| Rapha Healthcare Services,llc | |
|
4411 Ben Franklin Blvd Durham NC 27704-2147 | |
| (919) 471-5474 | |
| (919) 471-5475 |
| Full Name | Rapha Healthcare Services,llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4411 Ben Franklin Blvd, Durham, North Carolina |
| Authorized Official Name and Position | Sharon Halliday (MANAGING MEMBER) |
| Authorized Official Contact | 9194715474 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rapha Healthcare Services,llc 4411 Ben Franklin Blvd Durham NC 27704-2147 Ph: (919) 471-5474 | Rapha Healthcare Services,llc 4411 Ben Franklin Blvd Durham NC 27704-2147 Ph: (919) 471-5474 |
| NPI Number | 1316335128 |
|---|---|
| Provider Enumeration Date | 12/31/2014 |
| Last Update Date | 12/05/2019 |
| Medicare PECOS PAC ID | 5294025524 |
|---|---|
| Medicare Enrollment ID | O20160527001103 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316335128 | NPI | - | NPPES |
| Provider Name | Richard M Pavelock |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487739579 PECOS PAC ID: 8628050820 Enrollment ID: I20100323000478 |
| Provider Name | Chinenye Ambi Uchendu |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093042640 PECOS PAC ID: 7517136773 Enrollment ID: I20121024000022 |
| Provider Name | Elizabeth Johanna Teshima |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417328022 PECOS PAC ID: 9335449669 Enrollment ID: I20151118001626 |
| Provider Name | Laura A Lowery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548611015 PECOS PAC ID: 1052674470 Enrollment ID: I20180418001141 |
| Provider Name | Jacqueline L Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356982797 PECOS PAC ID: 4789019035 Enrollment ID: I20200115001787 |
| Provider Name | Adaku Anike |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184249393 PECOS PAC ID: 2264843077 Enrollment ID: I20201201000311 |
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