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NPI Code Detail

MEDICARE: ANITA M PISHARODY

MEDICARE: ANITA M PISHARODY
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 Physician99-00118NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
299-00118OTHERNCLICENSE NUMBER

General Provider Information

NPI Number : 1740389386
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANITA M PISHARODY
Provider Business Mailing Address
First Line : PO BOX 3559
Second Line :
City : DURHAM
State : NC
Zip : 27702-3559
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6020 FAYETTEVILLE RD
Second Line :
City : DURHAM
State : NC
Zip : 27713-9754
Country : US
Telephone Number : 919-572-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/21/2006
Last Update Date : 07/08/2007

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Directions to “ ANITA M PISHARODY ” Practice Location

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