| Capital Primary Care | |
|
10640 Durant Rd Ste 101 Raleigh NC 27614-6566 | |
| (919) 870-0197 | |
| (919) 870-0265 |
| Full Name | Capital Primary Care |
|---|---|
| Speciality | Internal Medicine |
| Location | 10640 Durant Rd Ste 101, Raleigh, North Carolina |
| Authorized Official Name and Position | Ramesh B Konduru (CEO) |
| Authorized Official Contact | 9198700197 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Capital Primary Care 203 Michelangelo Way Cary NC 27518-8716 Ph: (919) 870-0197 | Capital Primary Care 10640 Durant Rd Ste 101 Raleigh NC 27614-6566 Ph: (919) 870-0197 |
| NPI Number | 1699558742 |
|---|---|
| Provider Enumeration Date | 08/14/2023 |
| Last Update Date | 08/27/2026 |
| Certification Date | 08/27/2026 |
| Medicare PECOS PAC ID | 4486017167 |
|---|---|
| Medicare Enrollment ID | O20230829000480 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699558742 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (NU) | Primary |
| Provider Name | Ramesh B Konduru |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1477717445 PECOS PAC ID: 6608059241 Enrollment ID: I20111213000005 |
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