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NPI Code Detail

MEDICARE: DR. CHRISTIAN DONOHUE MD

MEDICARE:  DR. CHRISTIAN  DONOHUE  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
1207R00000XInternal Medicine Physician2003-00774NC

General Provider Information

NPI Number : 1457400467
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHRISTIAN DONOHUE MD
Provider Business Mailing Address
First Line : 2600 ATLANTIC AVE STE 200
Second Line :
City : RALEIGH
State : NC
Zip : 27604-1502
Country : US
Telephone Number : 919-755-2620
Fax Number : 919-755-2621
Provider Business Practice Location Address
First Line : 2600 ATLANTIC AVE STE 200
Second Line :
City : RALEIGH
State : NC
Zip : 27604-1502
Country : US
Telephone Number : 919-755-2620
Fax Number : 919-755-2621
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/09/2007
Last Update Date : 01/05/2022

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Directions to “ DR. CHRISTIAN DONOHUE MD” Practice Location

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