| Raleigh Primary Care Medicine, Pa | |
|
3200 Fairhill Dr Ste. 106 Raleigh NC 27612-3218 | |
| (919) 781-6655 | |
| (919) 781-0306 |
| Full Name | Raleigh Primary Care Medicine, Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 3200 Fairhill Dr, Raleigh, North Carolina |
| Authorized Official Name and Position | Balwinder S Sidhu (PRESIDENT) |
| Authorized Official Contact | 9197816655 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Raleigh Primary Care Medicine, Pa 3200 Fairhill Dr Ste. 106 Raleigh NC 27612-3218 Ph: (919) 781-6655 | Raleigh Primary Care Medicine, Pa 3200 Fairhill Dr Ste. 106 Raleigh NC 27612-3218 Ph: (919) 781-6655 |
| NPI Number | 1669444022 |
|---|---|
| Provider Enumeration Date | 02/01/2006 |
| Last Update Date | 02/13/2020 |
| Medicare PECOS PAC ID | 2163559014 |
|---|---|
| Medicare Enrollment ID | O20100423000629 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669444022 | NPI | - | NPPES |
| 2205481F | Other | NC | MEDICARE |
| 8976117 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Balwinder S Sidhu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962473678 PECOS PAC ID: 8820069230 Enrollment ID: I20040802000101 |
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