MEDICARE: MRS. SOENDA P NORMAN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	MD11651	RI
2	207Q00000X	Family Medicine Physician	2012-01463	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1023001484
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SOENDA P NORMAN MD

Provider Business Mailing Address
First Line	:	5213 S ALSTON AVE
Second Line	:
City	:	DURHAM
State	:	NC
Zip	:	27713-4430
Country	:	US
Telephone Number	:
Fax Number	:	919-620-4921

Provider Business Practice Location Address
First Line	:	10211 ALM ST
Second Line	:	SUITE 1200
City	:	RALEIGH
State	:	NC
Zip	:	27617-8221
Country	:	US
Telephone Number	:	919-206-4889
Fax Number	:	919-206-4875

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/31/2005
Last Update Date	:	12/07/2012

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Directions to “ MRS. SOENDA P NORMAN MD” Practice Location

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