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NPI Code Detail

MEDICARE: DR. RAKESH VISHWANATH ALVA MD

MEDICARE:  DR. RAKESH VISHWANATH ALVA  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
1207RP1001XPulmonary Disease Physician26588SC

Other Identifiers

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

General Provider Information

NPI Number : 1093868929
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RAKESH VISHWANATH ALVA MD
Provider Business Mailing Address
First Line : 1200 N ELM ST
Second Line :
City : GREENSBORO
State : NC
Zip : 27401-1004
Country : US
Telephone Number : 336-832-7000
Fax Number : 336-547-1828
Provider Business Practice Location Address
First Line : 3511 W MARKET ST STE 100
Second Line :
City : GREENSBORO
State : NC
Zip : 27403-4444
Country : US
Telephone Number : 336-522-8999
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/22/2007
Last Update Date : 08/10/2021

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