| Aegis Medical Center Pllc | |
|
1000 Crescent Grn Ste 102 Cary NC 27518-8117 | |
| (919) 233-0410 | |
| Not Available |
| Full Name | Aegis Medical Center Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1000 Crescent Grn Ste 102, Cary, North Carolina |
| Authorized Official Name and Position | Amer Iqbal (CENTER DIRECTOR) |
| Authorized Official Contact | 8108134094 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Aegis Medical Center Pllc 1000 Crescent Grn Ste 102 Cary NC 27518-8117 Ph: (919) 233-0410 | Aegis Medical Center Pllc 1000 Crescent Grn Ste 102 Cary NC 27518-8117 Ph: (919) 233-0410 |
| NPI Number | 1295507739 |
|---|---|
| Provider Enumeration Date | 10/27/2023 |
| Last Update Date | 10/29/2023 |
| Medicare PECOS PAC ID | 3870938848 |
|---|---|
| Medicare Enrollment ID | O20240229001325 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295507739 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Jayalalitha D Rao |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417104597 PECOS PAC ID: 0244375897 Enrollment ID: I20100306000260 |
| Provider Name | Brian Christopher Wolf |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1437594363 PECOS PAC ID: 1850522905 Enrollment ID: I20220823001001 |
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