DAEL WAXMAN MD NPI 1679581904

NPI Information

NPI: 1679581904
Provider Name: DAEL WAXMAN, MD
Classification: General Practice - 208D00000X
Entity Type: Individual
Organization: CAROLINAS MEDICAL CENTER

PECOS Registration: Yes

Address:
2001 VAIL AVE
STE 400
CHARLOTTE, NC
ZIP 28207
Phone: (704) 304-7000
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Dael Waxman, MD is a general practice in Charlotte, NC with 39 years of experience. Dael Waxman, MD NPI is 1679581904. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Graduation Year:1985

The provider's business location address is:

2001 VAIL AVE
STE 400
CHARLOTTE, NC
ZIP 28207-248
Phone: (704) 304-7000

The NPI 1679581904 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/3/2006 and was last updated on 9/27/2021.

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	208D00000X	General Practice		9601515	NORTH CAROLINA	Yes

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

NPI Synchronization or Removal

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