| Capital Family Physicians, Pa | |
|
2417 Atrium Dr Suite 201 Raleigh NC 27607-6673 | |
| (919) 232-0020 | |
| (919) 232-0030 |
| Full Name | Capital Family Physicians, Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 2417 Atrium Dr, Raleigh, North Carolina |
| Authorized Official Name and Position | John L Burkard (PRESIDENT) |
| Authorized Official Contact | 9192320020 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Capital Family Physicians, Pa 2417 Atrium Dr Suite 201 Raleigh NC 27607-6673 Ph: (919) 232-0020 | Capital Family Physicians, Pa 2417 Atrium Dr Suite 201 Raleigh NC 27607-6673 Ph: (919) 232-0020 |
| NPI Number | 1477519957 |
|---|---|
| Provider Enumeration Date | 04/25/2006 |
| Last Update Date | 06/29/2010 |
| Medicare PECOS PAC ID | 9032003009 |
|---|---|
| Medicare Enrollment ID | O20040211000027 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477519957 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Corinne L Griffith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285632166 PECOS PAC ID: 9234027772 Enrollment ID: I20040308000362 |
| Provider Name | Anu R Bommareddi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598763567 PECOS PAC ID: 4385532761 Enrollment ID: I20040308000684 |
| Provider Name | John L Burkard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730187618 PECOS PAC ID: 6204720279 Enrollment ID: I20040308000968 |
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