MEDICARE: DUKE UNIVERSITY MEDICAL CENTER

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	282N00000X	General Acute Care Hospital	135309	NC

General Provider Information

NPI Number	:	1538363072
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DUKE UNIVERSITY MEDICAL CENTER

Provider Business Mailing Address
First Line	:	7618 WINNERS EDGE ST
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27617-1928
Country	:	US
Telephone Number	:	919-765-0425
Fax Number	:

Provider Business Practice Location Address
First Line	:	7618 WINNERS EDGE ST
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27617-1928
Country	:	US
Telephone Number	:	919-765-0425
Fax Number	:

Authorized Official
Title or Position	:	FELLOW
Name	:	SHAMS ZIA
Credential	:	M.D.
Telephone Number	:	919-684-8111

Provider Enumeration Date	:	06/11/2007
Last Update Date	:	08/22/2020

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