Healthcare Provider Details
I. General information
NPI: 1568180495
Provider Name (Legal Business Name): EMPOWERED ARTHRITIS AND RHEUMATOLOGY CENTER PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/17/2022
Last Update Date: 02/11/2026
Certification Date: 02/11/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
300 ASHVILLE AVE STE 301
CARY NC
27518-8682
US
IV. Provider business mailing address
150 WRENN DR # 1806
CARY NC
27511-5433
US
V. Phone/Fax
- Phone: 984-345-2262
- Fax: 984-329-1414
- Phone: 984-345-2262
- Fax: 984-329-1414
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RR0500X |
| Taxonomy | Rheumatology Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332900000X |
| Taxonomy | Non-Pharmacy Dispensing Site |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
SANDEEPKUMAR
GUPTA
Title or Position: OWNER
Credential: MD
Phone: 984-345-2262