Medina, Victor A.

Medina, Victor A. is an individual health care provider with primary practice located at 115 Crescent Commons Dr Suite 200, Cary NC 27518-8102. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Medina, Victor A. can be contacted via phone (919) 851-5055.

Contact Information

Primary practice address
115 Crescent Commons Dr Suite 200 Cary NC 27518-8102
Phone: (919) 851-5055
Fax: (919) 851-3065
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 32145 North Carolina
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 32145 North Carolina

Profile Details

NPI number 1932259009
LBN Legal business name Medina, Victor A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2007
Last updated Aug 11th, 2010 - about 14 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 1932259009 NPPES
North Carolina Other 58459 BCBSNC
North Carolina MEDICAID 8958459 BCBSNC
North Carolina Other 020014831 BCBSNC

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