| Western Wake Internal Medicine | |
|
907 Kildaire Farm Rd Cary NC 27511-3922 | |
| (919) 319-6610 | |
| (919) 319-6365 |
| Full Name | Western Wake Internal Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 907 Kildaire Farm Rd, Cary, North Carolina |
| Authorized Official Name and Position | Vijaya Polavaram (PRESIDENT) |
| Authorized Official Contact | 9198700197 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Western Wake Internal Medicine 2025 Giovanni Ct Cary NC 27518-7106 Ph: (919) 319-6610 | Western Wake Internal Medicine 907 Kildaire Farm Rd Cary NC 27511-3922 Ph: (919) 319-6610 |
| NPI Number | 1760523260 |
|---|---|
| Provider Enumeration Date | 02/09/2007 |
| Last Update Date | 12/17/2018 |
| Medicare PECOS PAC ID | 3678599651 |
|---|---|
| Medicare Enrollment ID | O20051019000411 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760523260 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Vijaya N Polavaram |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669513776 PECOS PAC ID: 5294751285 Enrollment ID: I20051024000721 |
| Provider Name | Raj Polavaram |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336289065 PECOS PAC ID: 3476579467 Enrollment ID: I20051024000752 |
| Provider Name | Ramesh B Konduru |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1477717445 PECOS PAC ID: 6608059241 Enrollment ID: I20111213000005 |
| Provider Name | Nilima R Bhirud |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801955232 PECOS PAC ID: 0345345468 Enrollment ID: I20180409002222 |
| Provider Name | Jacquelyn Nicole Barish |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134687718 PECOS PAC ID: 4486060480 Enrollment ID: I20210316002095 |
Waverly Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 600 New Waverly Place, Ste 203, Cary, NC 27518 Phone: 919-859-5650 Fax: 919-859-5695 | |
William V. Lorimer, M.d. Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 661 Lipford Dr, Cary, NC 27519 Phone: 919-906-2132 | |
Wakemed Bariatrics Surgery & Medical Weight Loss Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 160 Macgregor Pines Dr, Cary, NC 27511 Phone: 919-234-4468 | |
Duke Health Center Of Cary Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3700 Nw Cary Pkwy, Suite 100, Cary, NC 27513 Phone: 919-684-8111 | |
Carolina Family Practice & Sports Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3700 Nw Cary Pkwy, Cary, NC 27513 Phone: 919-238-2000 Fax: 919-238-5010 | |
Dpc Waverly Place Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 540 New Waverly Pl, Cary, NC 27518 Phone: 919-954-4159 | |
Dpc Western Wake Medical Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 530 Waverly Place, Suite 101, Cary, NC 27518 Phone: 919-233-3959 |