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NPI Code Detail

MEDICARE: DANA MICHELLE IGLESIAS MD

MEDICARE: DANA MICHELLE IGLESIAS 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
1207Q00000XFamily Medicine PhysicianA92672CA
2207Q00000XFamily Medicine Physician200900657NC
3207Q00000XFamily Medicine Physician2009-00657NC

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 : 1114907656
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANA MICHELLE IGLESIAS MD
Provider Business Mailing Address
First Line : UNC FAMILY PRACTICE CTR
Second Line : CB #7595
City : CHAPEL HILL
State : NC
Zip : 27599-0001
Country : US
Telephone Number : 919-966-3711
Fax Number : 919-966-6125
Provider Business Practice Location Address
First Line : 590 MANNING DR
Second Line :
City : CHAPEL HILL
State : NC
Zip : 27599-6119
Country : US
Telephone Number : 919-966-3711
Fax Number : 919-966-6125
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/19/2006
Last Update Date : 02/25/2022

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Directions to “ DANA MICHELLE IGLESIAS MD” Practice Location

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