Healthcare Provider Details

I. General information

NPI: 1285496372
Provider Name (Legal Business Name): RALEIGH RHEUMATOLOGY ASSOCIATES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/25/2024
Last Update Date: 06/13/2024
Certification Date: 06/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8300 HEALTH PARK STE 211
RALEIGH NC
27615-4731
US

IV. Provider business mailing address

8300 HEALTH PARK STE 211
RALEIGH NC
27615-4731
US

V. Phone/Fax

Practice location:
  • Phone: 919-769-6100
  • Fax: 919-322-0542
Mailing address:
  • Phone: 919-769-6100
  • Fax: 919-322-0542

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number
License Number State

VIII. Authorized Official

Name: ATUL KAPILA
Title or Position: OWNER
Credential: MD
Phone: 919-769-6100