| Ajey B Golwala, Md ,pc | |
|
2500 Blue Ridge Rd Suite 327 Raleigh NC 27607-6454 | |
| (919) 787-5333 | |
| (919) 567-0004 |
| Full Name | Ajey B Golwala, Md ,pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2500 Blue Ridge Rd, Raleigh, North Carolina |
| Authorized Official Name and Position | Ajey B Golwala (PRESIDENT) |
| Authorized Official Contact | 9197875333 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ajey B Golwala, Md ,pc 2500 Blue Ridge Rd Suite 327 Raleigh NC 27607-6454 Ph: (919) 787-5333 | Ajey B Golwala, Md ,pc 2500 Blue Ridge Rd Suite 327 Raleigh NC 27607-6454 Ph: (919) 787-5333 |
| NPI Number | 1255516548 |
|---|---|
| Provider Enumeration Date | 01/04/2008 |
| Last Update Date | 05/09/2017 |
| Medicare PECOS PAC ID | 1052498078 |
|---|---|
| Medicare Enrollment ID | O20080401000699 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255516548 | NPI | - | NPPES |
| 110105438 | Other | NC | RR MEDICARE |
| 36415 | Other | NC | BCBS |
| 8936145 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 207R00000X (North Carolina) | Primary |
| Provider Name | Ajey B Golwala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750483392 PECOS PAC ID: 2163509183 Enrollment ID: I20080401000689 |
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