LEESVILLE INTERNAL MEDICINE PA NPI 1205965217

NPI Information

  • NPI: 1205965217
  • Provider Name: LEESVILLE INTERNAL MEDICINE, PA
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Address: 5816 CREEDMOOR RD
    SUITE 105
    RALEIGH, NC
    ZIP 27612
  • Phone: (919) 881-0691

Map and Directions

Get Directions

NPI Details

LEESVILLE INTERNAL MEDICINE, PA is a primary care clinic center in Raleigh, NC. LEESVILLE INTERNAL MEDICINE, PA NPI is 1205965217. The provider is registered as an organization entity type.

The provider's business location address is:

5816 CREEDMOOR RD
SUITE 105
RALEIGH, NC
ZIP 27612-310
Phone: (919) 881-0691
Fax: (919) 881-0692

The provider's authorized official is Ahmad B Barakat .
The authorized official title is Owner and has the following contact phone number (919) 881-0691.

The enumeration date for this NPI number is 3/5/2007 and was last updated on 8/30/2011.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QP2300XClinic/CenterPrimary Care9701241NORTH 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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12345916MEDICARE PINNORTH CAROLINA
25900610MEDICAIDNORTH CAROLINA
3G63300MEDICARE UPINNORTH 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: 11/21/2025

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