Pediaditakis, Nicholas
Pediaditakis, Nicholas is an sole proprietor health care provider with primary practice located at 5100 Lead Mine Rd , Raleigh NC 27612-3436. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Geriatric Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Pediaditakis, Nicholas can be contacted via phone (919) 787-0710.Contact Information
Primary practice address
5100 Lead Mine Rd
Raleigh NC 27612-3436
Phone: (919) 787-0710
Fax: (919) 787-0710
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 13201 | North Carolina |
Allopathic & Osteopathic Physicians / Geriatric Psychiatry | 2084P0805X | 13201 | North Carolina |
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | 13201 | North Carolina |
Profile Details
NPI number | 1093847568 |
---|---|
LBN Legal business name | Pediaditakis, Nicholas |
Credentials | M.D., DLFAPA |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Mar 11th, 2007 |
Last updated | Oct 8th, 2014 - about 10 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 | 1093847568 | NPPES |
North Carolina | Other | 66509 | BLUE CROSS BLUE SHIELD |
North Carolina | MEDICAID | 8966509 | BLUE CROSS BLUE SHIELD |
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