Healthcare Provider Details

I. General information

NPI: 1578797890
Provider Name (Legal Business Name): RYAN DAVID SCHULTEIS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/14/2009
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50101 GOVERNORS DR STE 105
CHAPEL HILL NC
27517-7037
US

IV. Provider business mailing address

100 WHIRLAWAY LN
CHAPEL HILL NC
27516-5776
US

V. Phone/Fax

Practice location:
  • Phone: 919-869-5906
  • Fax: 919-869-1976
Mailing address:
  • Phone: 919-869-5906
  • Fax: 919-869-1976

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number2012-01169
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: