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DEARK MEDICAL CENTER PLLC NPI 1376046003


NPI Information

NPI: 1376046003
Provider Name: DEARK MEDICAL CENTER PLLC
Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 34D2152742

Address:
3719 LATROBE DR STE 840
CHARLOTTE, NC
ZIP 28211
Phone: (913) 302-1470
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DEARK MEDICAL CENTER PLLC is an internal medicine in Charlotte, NC. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. DEARK MEDICAL CENTER PLLC NPI is 1376046003. The provider is registered as an organization entity type.

The provider's business location address is:

3719 LATROBE DR STE 840
CHARLOTTE, NC
ZIP 28211-121
Phone: (913) 302-1470

The provider's authorized official is Efemwonkiekie William Iyamu .
The authorized official title is President/ceo and has the following contact phone number (913) 302-1470.

The CLIA number assigned to this NPI record is 34D2152742 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/8/2018 and was last updated on 2/6/2019.


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
1261QC1500XClinic/CenterCommunity HealthNo
2261QM1000XClinic/CenterMigrant HealthNo
3261QP2300XClinic/CenterPrimary CareNo
4324500000XSubstance Abuse Rehabilitation FacilityNo
5207R00000XInternal Medicine2016-01529NORTH CAROLINAYes

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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