Healthcare Provider Details

I. General information

NPI: 1407786692
Provider Name (Legal Business Name): NORTH CAROLINA ANESTHESIA TEAM PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/20/2026
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2620 NEW BERN AVE
RALEIGH NC
27610-1821
US

IV. Provider business mailing address

9709 LAKESIDE BLVD STE 350
SPRING TX
77381-1216
US

V. Phone/Fax

Practice location:
  • Phone: 919-526-1000
  • Fax: 833-516-9244
Mailing address:
  • Phone: 713-489-2198
  • Fax: 713-489-2978

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State

VIII. Authorized Official

Name: SUNG WOOK CHOI
Title or Position: OWNER
Credential: MD
Phone: 860-990-2204