Vistar Medical Clinic Pa in Raleigh - Internal Medicine
Vistar Medical Clinic Pa - NPI 1730260134
Vistar Medical Clinic Pa is a Internal Medicine in Raleigh, North Carolina. Vistar Medical Clinic Pa practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Vistar Medical Clinic Pa is 1730260134. The last update date is 2020-02-13.
Vistar Medical Clinic Pa's current location address is Po Box 40028, Raleigh, North Carolina. You can contact this provider via phone number 9192553511 and fax number 8882490062. The mailing address for Vistar Medical Clinic Pa is Po Box 40028, Raleigh, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Vistar Medical Clinic Pa |
|---|---|
| Address | Po Box 40028, Raleigh, North Carolina |
| Phone Number | 9192553511 |
| Fax Number | 8882490062 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHAIRMAN & |
|---|---|
| Authorized Official Name | Onuoha Eziudo Maximus |
| Credentials | M.D. |
| Telephone Number | 9192553511 |
NPI Number Detail
| NPI Number | 1730260134 |
|---|---|
| Provider Enumeration Date | 2006-10-18 |
| Last Updated Date | 2020-02-13 |
Provider Mailing Address Detail
| Address | Po Box 40028 |
|---|---|
| City | Raleigh |
| State | North Carolina (NC) |
| Post Code | 276290028 |
| Phone Number | 9192553511 |
| Fax Number | 8882490062 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 94-00118 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5950436 | NC | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Vistar Medical Clinic Pa by the Centers for Medicare & Medicaid Services?
The Vistar Medical Clinic Pa has been issued the NPI (National Provider Identifier) 1730260134, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Vistar Medical Clinic Pa's physical address?
The Vistar Medical Clinic Pa is physically located at Po Box 40028, in the city of Raleigh, NC, with the postal code 276290028.
What is Vistar Medical Clinic Pa's area of expertise and its corresponding taxonomy classification?
The Vistar Medical Clinic Pa's field of specialization is Internal Medicine, and it falls under the taxonomy code 207R00000X, which categorizes healthcare providers based on their areas of practice.
On what date was the 1730260134 assigned to Vistar Medical Clinic Pa?
The Vistar Medical Clinic Pa was issued its 1730260134 on 2006-10-18, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Vistar Medical Clinic Pa most recently updated or refreshed?
The details pertaining to the Vistar Medical Clinic Pa, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-02-13.