| Namira Health Pllc | |
|
401 Ivy Arbor Way Holly Springs NC 27540-4812 | |
| (417) 894-2865 | |
| Not Available |
| Full Name | Namira Health Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 401 Ivy Arbor Way, Holly Springs, North Carolina |
| Authorized Official Name and Position | Raghavender Gotur (ORGANIZING MEMBER) |
| Authorized Official Contact | 4178942865 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Namira Health Pllc 401 Ivy Arbor Way Holly Springs NC 27540-4812 Ph: () - | Namira Health Pllc 401 Ivy Arbor Way Holly Springs NC 27540-4812 Ph: (417) 894-2865 |
| NPI Number | 1538826474 |
|---|---|
| Provider Enumeration Date | 11/28/2021 |
| Last Update Date | 12/10/2021 |
| Medicare PECOS PAC ID | 3274914684 |
|---|---|
| Medicare Enrollment ID | O20220718000248 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538826474 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Raghavender Gotur |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437394418 PECOS PAC ID: 4587832597 Enrollment ID: I20160531001746 |
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