Fayetteville Pulmonology Critical Care Pc

LBN: Fayetteville Pulmonology Critical Care Pc
Fayetteville Pulmonology Critical Care Pc is an health care organization with primary practice located at 1205 Cape Ct Suite A, Fayetteville NC 28304-4404. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is the primary health care specialty. Fayetteville Pulmonology Critical Care Pc can be contacted via phone (910) 678-8611, or through Dev, Gautam via phone (910) 678-8611.

Contact Information

Primary practice address
1205 Cape Ct Suite A Fayetteville NC 28304-4404
Fax: (910) 678-8100
Website:
Authorized official contact:
Name: Dev, Gautam Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 95-01525 North Carolina
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 95-01525 North Carolina

Profile Details

NPI number 1982797072
LBN Legal business name Fayetteville Pulmonology Critical Care Pc
DBA Doing business as
Authorized official Dev, Gautam Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 2nd, 2006
Last updated Jan 14th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982797072 NPPES
North Carolina MEDICAID 890134J
North Carolina Other 0134J

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