FAYETTEVILLE ENDOCRINOLOGY AND DIABETES CLINIC PA NPI 1851427991

NPI Information

NPI: 1851427991
Provider Name: FAYETTEVILLE ENDOCRINOLOGY AND DIABETES CLINIC PA
Classification: Internal Medicine - 207RE0101X
Entity Type: Organization

Specialization: Endocrinology, Diabetes & Metabolism

CLIA Number: 34D0941094

Address:
105 ROXIE AVE
FAYETTEVILLE, NC
ZIP 28304
Phone: (910) 609-1880
Get Directions

FAYETTEVILLE ENDOCRINOLOGY AND DIABETES CLINIC PA is an endocrinology and diabetes and metabolism internal medicine in Fayetteville, NC. The provider is an internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. FAYETTEVILLE ENDOCRINOLOGY AND DIABETES CLINIC PA NPI is 1851427991. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

105 ROXIE AVE
FAYETTEVILLE, NC
ZIP 28304-123
Phone: (910) 609-1880
Fax: (910) 609-1836

The provider's authorized official is Syed Asif Raza Rizvi .
The authorized official title is President and has the following contact phone number (910) 609-1880.

The CLIA number assigned to this NPI record is 34D0941094 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/25/2007 and was last updated on 12/20/2007.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RE0101X	Internal Medicine	Endocrinology, Diabetes & Metabolism	9401482	NORTH CAROLINA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	GOO574	MEDICARE UPIN
2	2209506A	MEDICARE PIN	NORTH 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

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »