| Vaxon Solutions LLC | |
|
875 Walnut St Ste 275.17 Cary NC 27511-4215 | |
| (919) 756-7886 | |
| Not Available |
| Full Name | Vaxon Solutions LLC |
|---|---|
| Speciality | Clinic/Center |
| Location | 875 Walnut St Ste 275.17, Cary, North Carolina |
| Authorized Official Name and Position | Eslam Said (OWNER/AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 9197567886 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vaxon Solutions LLC 875 Walnut St Ste 275.17 Cary NC 27511-4215 Ph: (919) 756-7886 | Vaxon Solutions LLC 875 Walnut St Ste 275.17 Cary NC 27511-4215 Ph: (919) 756-7886 |
| NPI Number | 1982341137 |
|---|---|
| Provider Enumeration Date | 05/18/2022 |
| Last Update Date | 08/05/2022 |
| Certification Date | 08/05/2022 |
| Medicare PECOS PAC ID | 2365825247 |
|---|---|
| Medicare Enrollment ID | O20220810003750 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982341137 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | () | Primary |
| Provider Name | Pavel Conovalciuc |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720017080 PECOS PAC ID: 4587673504 Enrollment ID: I20200601000720 |
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