Healthcare Provider Details

I. General information

NPI: 1336349315
Provider Name (Legal Business Name): PHILIP ODARTEI LAMPTEY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/19/2007
Last Update Date: 03/23/2026
Certification Date: 03/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1261 JULIAN ALLSBRK HWY
ROANOKE RAPIDS NC
27870-5127
US

IV. Provider business mailing address

920 FROSTWOOD DR STE 2.300
HOUSTON TX
77024-2314
US

V. Phone/Fax

Practice location:
  • Phone: 919-550-0821
  • Fax:
Mailing address:
  • Phone: 713-338-5519
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number35.097672
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number201501893
License Number StateNC
# 3
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberV4938
License Number StateTX
# 4
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number201501893
License Number StateNC
# 5
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number35.097672
License Number StateOH
# 6
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number2015-01893
License Number StateNC
# 7
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number062380
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: