Harmon, Revella Bendu
Harmon, Revella Bendu is an sole proprietor health care provider with primary practice located at 901 Old Knight Rd , Knightdale NC 27545-9065. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Harmon, Revella Bendu can be contacted via phone (919) 266-6211.Contact Information
Primary practice address
901 Old Knight Rd
Knightdale NC 27545-9065
Phone: (919) 266-6211
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 200000065 | North Carolina |
Profile Details
| NPI number | 1851334163 |
|---|---|
| LBN Legal business name | Harmon, Revella Bendu |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 14th, 2006 |
| Last updated | Jan 9th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1851334163 | NPPES |
| North Carolina | Other | B1393 | MEDCOST |
| North Carolina | Other | 202242698 | MEDCOST |
| North Carolina | Other | 2384012 | MEDCOST |
| North Carolina | Other | 127JU | MEDCOST |
| North Carolina | MEDICAID | 1851334163 | MEDCOST |
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