Healthcare Provider Details

I. General information

NPI: 1629419494
Provider Name (Legal Business Name): AMAN OPNEJA MBBS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/09/2013
Last Update Date: 02/23/2023
Certification Date: 02/23/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3404 WAKE FOREST RD STE 100
RALEIGH NC
27609-7341
US

IV. Provider business mailing address

3404 WAKE FOREST RD STE 100
RALEIGH NC
27609-7341
US

V. Phone/Fax

Practice location:
  • Phone: 919-682-5970
  • Fax:
Mailing address:
  • Phone: 919-682-5970
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number139733
License Number StateAK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: