Carolina Medical Care Pllc | |
105 Kilmayne Dr Ste A Cary NC 27511-4433 | |
(919) 467-2253 | |
(919) 467-2238 |
Full Name | Carolina Medical Care Pllc |
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Speciality | Internal Medicine |
Location | 105 Kilmayne Dr Ste A, Cary, North Carolina |
Authorized Official Name and Position | Harishchandra Mahaseth (OWNER) |
Authorized Official Contact | 7188733482 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Carolina Medical Care Pllc 1259 Magnolia Row Trl Apex NC 27502-2901 Ph: (718) 873-3482 | Carolina Medical Care Pllc 105 Kilmayne Dr Ste A Cary NC 27511-4433 Ph: (919) 467-2253 |
NPI Number | 1326766122 |
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Provider Enumeration Date | 08/17/2022 |
Last Update Date | 08/17/2022 |
Medicare PECOS PAC ID | 8729464300 |
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Medicare Enrollment ID | O20221005001435 |
Identifier | Type | State | Issuer |
---|---|---|---|
1326766122 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Harishchandra Mahaseth |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1043476922 PECOS PAC ID: 7517024029 Enrollment ID: I20110929000037 |
Provider Name | Yogita Shah |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1861655904 PECOS PAC ID: 1355501735 Enrollment ID: I20120321000680 |
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