MEDICARE: EMPOWERED ARTHRITIS AND RHEUMATOLOGY CENTER PLLC

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	332900000X	Non-Pharmacy Dispensing Site
2	207RR0500X	Rheumatology Physician

General Provider Information

NPI Number	:	1568180495
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EMPOWERED ARTHRITIS AND RHEUMATOLOGY CENTER PLLC

Provider Business Mailing Address
First Line	:	150 WRENN DR # 1806
Second Line	:
City	:	CARY
State	:	NC
Zip	:	27511-5433
Country	:	US
Telephone Number	:	984-345-2262
Fax Number	:	984-329-1414

Provider Business Practice Location Address
First Line	:	300 ASHVILLE AVE STE 301
Second Line	:
City	:	CARY
State	:	NC
Zip	:	27518-8682
Country	:	US
Telephone Number	:	984-345-2262
Fax Number	:	984-329-1414

Authorized Official
Title or Position	:	OWNER
Name	:	SANDEEPKUMAR GUPTA
Credential	:	MD
Telephone Number	:	984-345-2262

Provider Enumeration Date	:	08/17/2022
Last Update Date	:	02/11/2026

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