Healthcare Provider Details

I. General information

NPI: 1326676552
Provider Name (Legal Business Name): PRASHANT DILIP TAILOR MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/01/2020
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2226 NELSON HWY STE 200
CHAPEL HILL NC
27517-9638
US

IV. Provider business mailing address

5521 PARAMOUNT PARKWAY STE 420
MORRISVILLE NC
27560-5491
US

V. Phone/Fax

Practice location:
  • Phone: 919-966-2061
  • Fax: 984-974-2020
Mailing address:
  • Phone: 984-974-3066
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number2026-03164
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: