| Sp Internal Medicine P.c. | |
|
1417 W Pettigrew St Durham NC 27705-4820 | |
| (919) 428-2904 | |
| Not Available |
| Full Name | Sp Internal Medicine P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 1417 W Pettigrew St, Durham, North Carolina |
| Authorized Official Name and Position | Noel Currin (BILLER) |
| Authorized Official Contact | 9198705939 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sp Internal Medicine P.c. 2608 Erwin Rd Ste 148-366 Durham NC 27705-4596 Ph: (919) 428-2904 | Sp Internal Medicine P.c. 1417 W Pettigrew St Durham NC 27705-4820 Ph: (919) 428-2904 |
| NPI Number | 1962703769 |
|---|---|
| Provider Enumeration Date | 11/10/2010 |
| Last Update Date | 05/20/2020 |
| Medicare PECOS PAC ID | 5597952911 |
|---|---|
| Medicare Enrollment ID | O20101211000034 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962703769 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 200301403 (North Carolina) | Primary |
| Provider Name | Suman Prasad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760460349 PECOS PAC ID: 2264401926 Enrollment ID: I20040929000465 |
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