| Raleigh Geriatrics, P.a. | |
|
3921 Sunset Ridge Rd Suite 101 Raleigh NC 27607-6677 | |
| (919) 782-7576 | |
| (919) 782-7573 |
| Full Name | Raleigh Geriatrics, P.a. |
|---|---|
| Speciality | Internal Medicine |
| Location | 3921 Sunset Ridge Rd, Raleigh, North Carolina |
| Authorized Official Name and Position | Martin Janis (PRESIDENT) |
| Authorized Official Contact | 9197827576 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Raleigh Geriatrics, P.a. Po Box 10750 Raleigh NC 27605-0750 Ph: (919) 782-7576 | Raleigh Geriatrics, P.a. 3921 Sunset Ridge Rd Suite 101 Raleigh NC 27607-6677 Ph: (919) 782-7576 |
| NPI Number | 1104939628 |
|---|---|
| Provider Enumeration Date | 08/17/2006 |
| Last Update Date | 12/11/2015 |
| Medicare PECOS PAC ID | 2961469580 |
|---|---|
| Medicare Enrollment ID | O20041215000764 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104939628 | NPI | - | NPPES |
| 8912794 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | 9900551 (North Carolina) | Primary |
| Provider Name | Martin Janis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861509481 PECOS PAC ID: 2860459484 Enrollment ID: I20041216000359 |
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