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NPI Code Detail

MEDICARE: PETER MANU MD

MEDICARE: PETER MANU 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
1207R00000XInternal Medicine Physician2024-00314NC

General Provider Information

NPI Number : 1306996681
Entity Type Code : Individual
Provider Name (Legal Business Name) : PETER MANU MD
Provider Business Mailing Address
First Line : 3125 POPLARWOOD CT STE 203
Second Line :
City : RALEIGH
State : NC
Zip : 27604-6445
Country : US
Telephone Number : 919-787-6131
Fax Number : 919-571-2932
Provider Business Practice Location Address
First Line : 2101 GARNER RD
Second Line :
City : RALEIGH
State : NC
Zip : 27610-0114
Country : US
Telephone Number : 919-787-6131
Fax Number : 919-571-2932
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/11/2007
Last Update Date : 10/22/2024

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Directions to “ PETER MANU MD” Practice Location

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