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NPI Code Detail

MEDICARE: MR. ELIE OSTA MD

MEDICARE: MR. ELIE OSTA 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 Physician9501040NC

General Provider Information

NPI Number : 1861468902
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ELIE OSTA MD
Provider Business Mailing Address
First Line : 7 PROFESSIONAL DR
Second Line :
City : SNOW HILL
State : NC
Zip : 28580-1332
Country : US
Telephone Number : 252-747-8162
Fax Number : 252-747-8163
Provider Business Practice Location Address
First Line : 1106 KINGOLD BLVD
Second Line :
City : SNOW HILL
State : NC
Zip : 28580-1619
Country : US
Telephone Number : 252-747-2921
Fax Number : 252-747-4915
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/28/2006
Last Update Date : 02/01/2023

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