Healthcare Provider Details

I. General information

NPI: 1093343311
Provider Name (Legal Business Name): RAVYN SIERRA TENDAI NJAGU MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/31/2020
Last Update Date: 08/05/2024
Certification Date: 08/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 CONNER DR STE 101
CHAPEL HILL NC
27514-7083
US

IV. Provider business mailing address

120 CONNER DR STE 101
CHAPEL HILL NC
27514-7083
US

V. Phone/Fax

Practice location:
  • Phone: 919-942-8571
  • Fax:
Mailing address:
  • Phone: 919-942-8571
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number2024-02140
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: