Healthcare Provider Details

I. General information

NPI: 1124220025
Provider Name (Legal Business Name): NFN SUMEDHA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: FNU SUMEDHA MD

II. Dates (important events)

Enumeration Date: 06/03/2007
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1011 W WILLIAMS ST STE 103
APEX NC
27502-3979
US

IV. Provider business mailing address

6812 PIERSHILL LN
CARY NC
27519-1566
US

V. Phone/Fax

Practice location:
  • Phone: 919-283-2845
  • Fax: 919-267-4449
Mailing address:
  • Phone: 919-283-2845
  • Fax: 919-267-4449

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberE-14357
License Number StateAR
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number2024-01821
License Number StateNC
# 3
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number50354
License Number StateTN
# 4
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number23445
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: