| Summit Endocrine & Diabetes Pllc | |
|
550 New Waverly Pl Suite 120 Cary NC 27518-7412 | |
| (919) 642-3738 | |
| (919) 585-1554 |
| Full Name | Summit Endocrine & Diabetes Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 550 New Waverly Pl, Cary, North Carolina |
| Authorized Official Name and Position | Khushbu Anirudhdha Chandarana (PRESIDENT) |
| Authorized Official Contact | 9196423738 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Summit Endocrine & Diabetes Pllc 550 New Waverly Pl Suite 120 Cary NC 27518-7412 Ph: (919) 642-3738 | Summit Endocrine & Diabetes Pllc 550 New Waverly Pl Suite 120 Cary NC 27518-7412 Ph: (919) 642-3738 |
| NPI Number | 1336520675 |
|---|---|
| Provider Enumeration Date | 06/12/2015 |
| Last Update Date | 01/25/2016 |
| Medicare PECOS PAC ID | 5395051668 |
|---|---|
| Medicare Enrollment ID | O20150901001827 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336520675 | NPI | - | NPPES |
| 1336520675 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | 2011-00723 (North Carolina) | Primary |
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