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
Phone: (252) 442-1807
Fax: (252) 442-1649
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1689835936 | NPPES |
North Carolina | MEDICAID | 5919404 |
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