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NPI Code Detail

MEDICARE: DABIRUDDIN M HUMAYUN MD, PLLC

MEDICARE: DABIRUDDIN M HUMAYUN MD, PLLC
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
1207R00000XInternal Medicine PhysicianNC
2207R00000XInternal Medicine Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1114152337
Entity Type Code : Organization
Provider Name (Legal Business Name) : DABIRUDDIN M HUMAYUN MD, PLLC
Provider Business Mailing Address
First Line : PO BOX 13219
Second Line :
City : DURHAM
State : NC
Zip : 27709-3219
Country : US
Telephone Number : 919-477-5152
Fax Number : 919-367-4048
Provider Business Practice Location Address
First Line : 3830 BLUE RIDGE RD
Second Line :
City : RALEIGH
State : NC
Zip : 27612-4319
Country : US
Telephone Number : 919-781-4900
Fax Number :
Authorized Official
Title or Position : MD
Name : DABIRUDDIN HUMAYUN
Credential :
Telephone Number : 919-781-4900
Provider Enumeration Date : 05/18/2009
Last Update Date : 08/11/2025

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