Healthcare Provider Details

I. General information

NPI: 1235244112
Provider Name (Legal Business Name): VILERT ALON LOVING M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/20/2006
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3400 WAKE FOREST RD
RALEIGH NC
27609-7317
US

IV. Provider business mailing address

3400 WAKE FOREST RD
RALEIGH NC
27609-7317
US

V. Phone/Fax

Practice location:
  • Phone: 919-954-3624
  • Fax:
Mailing address:
  • Phone: 919-954-3624
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number45401
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number2026-03295
License Number StateNC
# 3
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number345662
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: