Healthcare Provider Details

I. General information

NPI: 1952744294
Provider Name (Legal Business Name): ATUL KAPILA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/16/2013
Last Update Date: 06/13/2024
Certification Date: 06/04/2024
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 Number2018-01125
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: