| Piedmont Internal Medicine, Pulmonary And Infectious Diseases, Pa | |
|
3214 Charles B Root Wynd Suite 211 Raleigh NC 27612-5440 | |
| (919) 787-9993 | |
| (919) 787-7073 |
| Full Name | Piedmont Internal Medicine, Pulmonary And Infectious Diseases, Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 3214 Charles B Root Wynd, Raleigh, North Carolina |
| Authorized Official Name and Position | Syed A Masood (PRESIDENT) |
| Authorized Official Contact | 9197879993 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Piedmont Internal Medicine, Pulmonary And Infectious Diseases, Pa 3214 Charles B Root Wynd Suite 211 Raleigh NC 27612-5440 Ph: (919) 787-9993 | Piedmont Internal Medicine, Pulmonary And Infectious Diseases, Pa 3214 Charles B Root Wynd Suite 211 Raleigh NC 27612-5440 Ph: (919) 787-9993 |
| NPI Number | 1992757827 |
|---|---|
| Provider Enumeration Date | 05/17/2006 |
| Last Update Date | 01/09/2008 |
| Medicare PECOS PAC ID | 9234042268 |
|---|---|
| Medicare Enrollment ID | O20031106000548 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992757827 | NPI | - | NPPES |
| 0270P | Other | NC | BCBS |
| 890270P | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 9600123 (North Carolina) | Primary |
| 207RP1001X | Internal Medicine - Pulmonary Disease | 9600122 (North Carolina) | Secondary |
| Provider Name | Naseem J Masood |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1336190578 PECOS PAC ID: 2365343019 Enrollment ID: I20040116000168 |
| Provider Name | Syed A Masood |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053363325 PECOS PAC ID: 7911810965 Enrollment ID: I20100506000706 |
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