Healthcare Provider Details

I. General information

NPI: 1942688031
Provider Name (Legal Business Name): LEEOR ISRAEL PORGES D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/11/2015
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2238 NELSON HWY STE 100
CHAPEL HILL NC
27517-8914
US

IV. Provider business mailing address

2238 NELSON HWY STE 100
CHAPEL HILL NC
27517-8914
US

V. Phone/Fax

Practice location:
  • Phone: 919-401-1994
  • Fax: 919-401-1924
Mailing address:
  • Phone: 919-401-1994
  • Fax: 919-401-1924

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number2024-01703
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: