| Smithfield Family Practice Pa | |
|
1551 E Booker Dairy Rd Smithfield NC 27577-9472 | |
| (919) 934-8977 | |
| (919) 938-3108 |
| Full Name | Smithfield Family Practice Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 1551 E Booker Dairy Rd, Smithfield, North Carolina |
| Authorized Official Name and Position | Raghu R. Katuru (OWNER&DOCTOR) |
| Authorized Official Contact | 9199348977 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Smithfield Family Practice Pa 1551 E Booker Dairy Rd Smithfield NC 27577-9472 Ph: (919) 934-8977 | Smithfield Family Practice Pa 1551 E Booker Dairy Rd Smithfield NC 27577-9472 Ph: (919) 934-8977 |
| NPI Number | 1548465735 |
|---|---|
| Provider Enumeration Date | 06/18/2007 |
| Last Update Date | 08/07/2014 |
| Medicare PECOS PAC ID | 4486669827 |
|---|---|
| Medicare Enrollment ID | O20060207000395 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548465735 | NPI | - | NPPES |
| 1316970908 | Other | NC | NPI NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 200401238 (North Carolina) | Primary |
| Provider Name | Raghu R Katuru |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316970908 PECOS PAC ID: 5092761866 Enrollment ID: I20050324000354 |
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Horizon Family Medicine, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 410 Canterbury Rd, Smithfield, NC 27577 Phone: 919-934-5149 Fax: 919-934-5632 |