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CAROLINA SPECIALTY ONCOLOGY PA NPI 1477520088


NPI Information

NPI: 1477520088
Provider Name: CAROLINA SPECIALTY ONCOLOGY, PA
Classification: Urology - 208800000X
Entity Type: Organization
Address:
117 SUNNYBROOK RD
RALEIGH, NC
ZIP 27610
Phone: (919) 334-3910
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CAROLINA SPECIALTY ONCOLOGY, PA is an urology in Raleigh, NC. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. CAROLINA SPECIALTY ONCOLOGY, PA NPI is 1477520088. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

117 SUNNYBROOK RD
RALEIGH, NC
ZIP 27610-827
Phone: (919) 334-3910
Fax: (919) 250-9280

The provider's authorized official is Kevin P Khoudary .
The authorized official title is Director and has the following contact phone number (919) 334-3900.

The enumeration date for this NPI number is 3/2/2006 and was last updated on 12/9/2015.


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
1208800000XUrologyYes

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
101708OTHERNORTH CAROLINABCBS
25922273MEDICAIDNORTH CAROLINA
32332275MEDICARE PINNORTH 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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