| Carolina Pulmonary & Sleep Clinic Pllc | |
|
3750 Nw Cary Pkwy Ste 120 Cary NC 27513-8432 | |
| (919) 439-8580 | |
| (919) 463-5600 |
| Full Name | Carolina Pulmonary & Sleep Clinic Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3750 Nw Cary Pkwy Ste 120, Cary, North Carolina |
| Authorized Official Name and Position | Priyan Samarakoon (OWNER / ORGANIZER) |
| Authorized Official Contact | 9194398580 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carolina Pulmonary & Sleep Clinic Pllc 3750 Nw Cary Pkwy Ste 120 Cary NC 27513-8432 Ph: (919) 439-8580 | Carolina Pulmonary & Sleep Clinic Pllc 3750 Nw Cary Pkwy Ste 120 Cary NC 27513-8432 Ph: (919) 439-8580 |
| NPI Number | 1780980219 |
|---|---|
| Provider Enumeration Date | 01/31/2011 |
| Last Update Date | 06/26/2012 |
| Medicare PECOS PAC ID | 7618159542 |
|---|---|
| Medicare Enrollment ID | O20110314000342 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780980219 | NPI | - | NPPES |
| 4222151 | Other | NC | CIGNA |
| GP5609 | Medicaid | SC | |
| 2684188 | Other | NC | UNITED HEALTHCARE |
| 5916950 | Medicaid | NC | |
| 7462841 | Other | AETNA |
| Provider Name | Priyan Chandana Samarakoon |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1356395941 PECOS PAC ID: 2163427154 Enrollment ID: I20100908000379 |
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