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PRIVATE DIAGNOSTIC CLINIC PLLC NPI 1144246646


NPI Information

NPI: 1144246646
Provider Name: PRIVATE DIAGNOSTIC CLINIC, PLLC

Doing Business As: DUKE HEMATOLOGY /ONCOLOGY @DUKE HEALTH RALEIGH HOSPITAL

Classification: Internal Medicine - 207RH0003X
Entity Type: Organization

Specialization: Hematology & Oncology

Address:
3404 WAKE FOREST RD
SUITE 100
RALEIGH, NC
ZIP 27609
Phone: (919) 954-3050
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PRIVATE DIAGNOSTIC CLINIC, PLLC is a hematology and oncology internal medicine in Raleigh, NC. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. PRIVATE DIAGNOSTIC CLINIC, PLLC NPI is 1144246646. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Duke Hematology /oncology @duke Health Raleigh Hospital.

The provider's business location address is:

3404 WAKE FOREST RD
SUITE 100
RALEIGH, NC
ZIP 27609-340
Phone: (919) 954-3050

The provider's authorized official is Mark L. Cantrell .
The authorized official title is Chief Privacy & Compliance Officer and has the following contact phone number (919) 668-5161.

The enumeration date for this NPI number is 7/15/2006 and was last updated on 12/8/2011.


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
1207RH0003XInternal MedicineHematology & OncologyYes

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
1011GHOTHERNORTH CAROLINABCBS GRP
2230575MEDICARE PINNORTH CAROLINA
389011GHMEDICAIDNORTH CAROLINA
4=========039OTHERTRICARE GRP

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: 11/14/2023

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