MEDICARE: BILAL LATEEF 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	390200000X	Student in an Organized Health Care Education/Training Program	191581	NC
2	207LP2900X	Pain Medicine (Anesthesiology) Physician	2015-00747	NC

General Provider Information

NPI Number	:	1528404670
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BILAL LATEEF MD

Provider Business Mailing Address
First Line	:	101 MANNING DR
Second Line	:	DEPARTMENT OF ANESTHESIOLOGY, CB# 7010
City	:	CHAPEL HILL
State	:	NC
Zip	:	27514-4220
Country	:	US
Telephone Number	:	919-966-5136
Fax Number	:	919-966-4873

Provider Business Practice Location Address
First Line	:	1240 HUFFMAN MILL RD
Second Line	:
City	:	BURLINGTON
State	:	NC
Zip	:	27215-8700
Country	:	US
Telephone Number	:	336-538-7180
Fax Number	:

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

Provider Enumeration Date	:	05/16/2013
Last Update Date	:	04/02/2026

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