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FAYETTEVILLE PULMONOLOGY CRITICAL CARE PC NPI 1982797072


NPI Information

NPI: 1982797072
Provider Name: FAYETTEVILLE PULMONOLOGY CRITICAL CARE PC
Classification: Internal Medicine - 207RP1001X
Entity Type: Organization

Specialization: Pulmonary Disease

Address:
1205 CAPE CT
SUITE A
FAYETTEVILLE, NC
ZIP 28304
Phone: (910) 678-8611
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FAYETTEVILLE PULMONOLOGY CRITICAL CARE PC is a pulmonary disease internal medicine in Fayetteville, NC. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. FAYETTEVILLE PULMONOLOGY CRITICAL CARE PC NPI is 1982797072. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1205 CAPE CT
SUITE A
FAYETTEVILLE, NC
ZIP 28304-404
Phone: (910) 678-8611
Fax: (910) 678-8100

The provider's authorized official is Gautam Dev .
The authorized official title is Medical Doctor President and has the following contact phone number (910) 678-8611.

The enumeration date for this NPI number is 10/2/2006 and was last updated on 1/14/2008.


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 Medicine95-01525NORTH CAROLINANo
2207RP1001XInternal MedicinePulmonary Disease95-01525NORTH CAROLINAYes

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
12219112DMEDICARE PINNORTH CAROLINA
2F29089MEDICARE UPIN
30134JOTHERNORTH CAROLINABLUE CROSS
4890134JMEDICAIDNORTH 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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