CARY CHILDRENS CLINIC PC NPI 1891201737

NPI Information

  • NPI: 1891201737
  • Provider Name: CARY CHILDRENS CLINIC PC
  • Classification: Pediatrics - 208000000X
  • Entity Type: Organization
  • CLIA Number: 34D0975840
  • Address: 155 PARKWAY OFFICE CT STE 100
    CARY, NC
    ZIP 27518
  • Phone: (919) 852-3456

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NPI Details

CARY CHILDRENS CLINIC PC is a pediatrics in Cary, NC. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. CARY CHILDRENS CLINIC PC NPI is 1891201737. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

155 PARKWAY OFFICE CT STE 100
CARY, NC
ZIP 27518-427
Phone: (919) 852-3456

The provider's authorized official is Anil Kasula .
The authorized official title is Owner and has the following contact phone number (919) 852-3456.

The CLIA number assigned to this NPI record is 34D0975840 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/14/2017 and was last updated on 12/14/2017.

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
1208000000XPediatrics0095-01294NORTH CAROLINAYes

What is NPI?

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This page was last updated on: 11/21/2025

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