Leesville Internal Medicine, Pa

LBN: Leesville Internal Medicine, Pa
Leesville Internal Medicine, Pa is an health care organization with primary practice located at 5816 Creedmoor Rd Suite 105, Raleigh NC 27612-2310. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Leesville Internal Medicine, Pa can be contacted via phone (919) 881-0691, or through Barakat, Ahmad B via phone (919) 881-0691.

Contact Information

Primary practice address
5816 Creedmoor Rd Suite 105 Raleigh NC 27612-2310
Fax: (919) 881-0692
Website:
Authorized official contact:
Name: Barakat, Ahmad B Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X 9701241 North Carolina

Profile Details

NPI number 1205965217
LBN Legal business name Leesville Internal Medicine, Pa
DBA Doing business as
Authorized official Barakat, Ahmad B Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 5th, 2007
Last updated Aug 30th, 2011 - about 13 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 1205965217 NPPES
North Carolina MEDICAID 5900610

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