MEDICARE: ANUPAMA BETKERUR HORNE MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207W00000X	Ophthalmology Physician	2009-01149	NC

General Provider Information

NPI Number	:	1013098946
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANUPAMA BETKERUR HORNE MD

Provider Business Mailing Address
First Line	:	6104 FAYETTEVILLE RD
Second Line	:	SUITE 108
City	:	DURHAM
State	:	NC
Zip	:	27713-6283
Country	:	US
Telephone Number	:	919-572-0050
Fax Number	:	919-572-9200

Provider Business Practice Location Address
First Line	:	6104 FAYETTEVILLE RD
Second Line	:	SUITE 108
City	:	DURHAM
State	:	NC
Zip	:	27713-6283
Country	:	US
Telephone Number	:	919-572-0050
Fax Number	:	919-572-9200

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/18/2006
Last Update Date	:	08/10/2009

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