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NPI Code Detail

MEDICARE: DR. VIJAY R. GHATE M.D.

MEDICARE: DR. VIJAY R. GHATE M.D.
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
12084P0800XPsychiatry Physician17132NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
135176OTHERNCBCCS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1306994918
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. VIJAY R. GHATE M.D.
Provider Business Mailing Address
First Line : 612 WINTER BREEZE CT
Second Line :
City : RALEIGH
State : NC
Zip : 27607-5096
Country : US
Telephone Number : 919-233-6731
Fax Number :
Provider Business Practice Location Address
First Line : 5509 CREEDMOOR RD
Second Line :
City : RALEIGH
State : NC
Zip : 27612-6312
Country : US
Telephone Number : 919-573-6520
Fax Number : 919-573-6555
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/08/2007
Last Update Date : 01/25/2026

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