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PRIVATE DIAGNOSTIC CLINIC PLLC NPI 1255364329


NPI Information

NPI: 1255364329
Provider Name: PRIVATE DIAGNOSTIC CLINIC, PLLC

Doing Business As: DUKE PULMONARY, ALLERGY & CRITICAL CARE MEDICINE

Classification: Internal Medicine - 207RA0201X
Entity Type: Organization

Specialization: Allergy & Immunology

Address:
2609 N DUKE ST
SUITE 504
DURHAM, NC
ZIP 27704
Phone: (919) 684-8111
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PRIVATE DIAGNOSTIC CLINIC, PLLC is an allergy and immunology internal medicine in Durham, NC. The provider is an internist doctor of osteopathy that specializes in the treatment of allergy and immunologic disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Special Qualifications in the field of Allergy & Immunology. PRIVATE DIAGNOSTIC CLINIC, PLLC NPI is 1255364329. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Duke Pulmonary, Allergy & Critical Care Medicine.

The provider's business location address is:

2609 N DUKE ST
SUITE 504
DURHAM, NC
ZIP 27704-048
Phone: (919) 684-8111

The provider's authorized official is Christopher Thomas Frederick .
The authorized official title is Cfo and has the following contact phone number (919) 613-7762.

The enumeration date for this NPI number is 7/9/2006 and was last updated on 5/15/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RC0200XInternal MedicineCritical Care MedicineNo
2207RP1001XInternal MedicinePulmonary DiseaseNo
3207RA0201XInternal MedicineAllergy & ImmunologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
107020OTHERNORTH CAROLINAGRP
27907025MEDICAIDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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