Peechara, Madhavi Latha

Peechara, Madhavi Latha is an sole proprietor health care provider with primary practice located at 10589 E Nc Highway 97 , Rocky Mount NC 27803-9208. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Peechara, Madhavi Latha can be contacted via phone (252) 442-1807.

Contact Information

Primary practice address
10589 E Nc Highway 97 Rocky Mount NC 27803-9208
Fax: (252) 442-1649
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X BP10032241 Texas
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 2011-01382 North Carolina

Profile Details

NPI number 1689835936
LBN Legal business name Peechara, Madhavi Latha
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 19th, 2008
Last updated Apr 6th, 2017 - about 7 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 1689835936 NPPES
North Carolina MEDICAID 5919404

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