Komada, Michael R

Komada, Michael R is an individual health care provider with primary practice located at 1821 Hillandale Rd Suite 25C, Durham NC 27705-2659. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Komada, Michael R can be contacted via phone (915) 220-5510.

Contact Information

Primary practice address
1821 Hillandale Rd Suite 25C Durham NC 27705-2659
Phone: (915) 220-5510
Fax: (919) 220-6536
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 9600295 North Carolina

Profile Details

NPI number 1093775009
LBN Legal business name Komada, Michael R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2006
Last updated Aug 21st, 2013 - about 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093775009 NPPES
North Carolina MEDICAID 8949870

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