| Dabiruddin M Humayun Md, Pllc | |
|
3830 Blue Ridge Rd Raleigh NC 27612-4319 | |
| (919) 781-4900 | |
| Not Available |
| Full Name | Dabiruddin M Humayun Md, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3830 Blue Ridge Rd, Raleigh, North Carolina |
| Authorized Official Name and Position | Dabiruddin Humayun (MD) |
| Authorized Official Contact | 9197814900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dabiruddin M Humayun Md, Pllc Po Box 15133 Durham NC 27704-0133 Ph: (919) 477-5345 | Dabiruddin M Humayun Md, Pllc 3830 Blue Ridge Rd Raleigh NC 27612-4319 Ph: (919) 781-4900 |
| NPI Number | 1114152337 |
|---|---|
| Provider Enumeration Date | 05/18/2009 |
| Last Update Date | 06/28/2022 |
| Medicare PECOS PAC ID | 8527112093 |
|---|---|
| Medicare Enrollment ID | O20090818000472 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114152337 | NPI | - | NPPES |
| 02DQU | Other | NC | BCBS OF NC |
| 89138G3 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (North Carolina) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Dabiruddin M Humayun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538260211 PECOS PAC ID: 5991786634 Enrollment ID: I20040925000054 |
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