| Triangle Community Physicians, P.a. | |
|
4309 Medical Park Dr Suite 200 Durham NC 27704-2388 | |
| (919) 471-4484 | |
| (919) 477-6131 |
| Full Name | Triangle Community Physicians, P.a. |
|---|---|
| Speciality | Internal Medicine |
| Location | 4309 Medical Park Dr, Durham, North Carolina |
| Authorized Official Name and Position | Shelia R Capel (OFFICE MANAGER) |
| Authorized Official Contact | 9194792860 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Triangle Community Physicians, P.a. 4309 Medical Park Dr Suite 200 Durham NC 27704-2388 Ph: (919) 471-4484 | Triangle Community Physicians, P.a. 4309 Medical Park Dr Suite 200 Durham NC 27704-2388 Ph: (919) 471-4484 |
| NPI Number | 1942269451 |
|---|---|
| Provider Enumeration Date | 03/22/2006 |
| Last Update Date | 10/25/2007 |
| Medicare PECOS PAC ID | 1355313404 |
|---|---|
| Medicare Enrollment ID | O20040809001340 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942269451 | NPI | - | NPPES |
| 890149F | Medicaid | NC | |
| 0149F | Other | NC | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 38758 (North Carolina) | Primary |
| Provider Name | John A Kallianos Md |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245231588 PECOS PAC ID: 1658411723 Enrollment ID: I20091221000664 |
| Provider Name | Kombiz P Klein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619976297 PECOS PAC ID: 5193865269 Enrollment ID: I20091221000671 |
| Provider Name | Kate B Mcnulty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093908097 PECOS PAC ID: 4486743937 Enrollment ID: I20180910001926 |
| Provider Name | Sara Lethbridge Hardy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447848916 PECOS PAC ID: 8022418995 Enrollment ID: I20210615000388 |
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Duke Student Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 Trent Dr, Sub-basement, Orange Zone, Durham, NC 27710 Phone: 919-681-9355 | |
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American Current Care Of North Carolina Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4104 Surles Court, Suite 11, Durham, NC 27703 Phone: 919-941-1911 Fax: 919-941-1901 | |
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