| Spectrum Medical Care, Inc. | |
|
3801 Computer Dr Suite 104 Raleigh NC 27609-6506 | |
| (919) 787-4000 | |
| (919) 787-4009 |
| Full Name | Spectrum Medical Care, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 3801 Computer Dr, Raleigh, North Carolina |
| Authorized Official Name and Position | Chawki A Lahoud (OWNER) |
| Authorized Official Contact | 9197874000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Spectrum Medical Care, Inc. 3801 Computer Dr Suite 104 Raleigh NC 27609-6506 Ph: (919) 787-4000 | Spectrum Medical Care, Inc. 3801 Computer Dr Suite 104 Raleigh NC 27609-6506 Ph: (919) 787-4000 |
| NPI Number | 1861794851 |
|---|---|
| Provider Enumeration Date | 11/23/2010 |
| Last Update Date | 06/06/2011 |
| Medicare PECOS PAC ID | 8628258316 |
|---|---|
| Medicare Enrollment ID | O20110214000140 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861794851 | NPI | - | NPPES |
| 5916714 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Chawki A Lahoud |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730133604 PECOS PAC ID: 4789576505 Enrollment ID: I20060912000466 |
| Provider Name | Elisabeth Kakmou Touko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427566983 PECOS PAC ID: 4385906031 Enrollment ID: I20180319000311 |
| Provider Name | Felista Njoroge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730724014 PECOS PAC ID: 3173957941 Enrollment ID: I20200102002772 |
| Provider Name | Armstrong Fiifi Dadson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760091946 PECOS PAC ID: 5193141844 Enrollment ID: I20200917002450 |
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