Prime Internal Medicine P.A.

LBN: Prime Internal Medicine P.A.
Prime Internal Medicine P.A. is an health care organization with primary practice located at 550 New Waverly Place Suite #120, Cary NC 27511. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Prime Internal Medicine P.A. can be contacted via phone (919) 233-6614, or through Reddy, Edavally N via phone (919) 233-6614.

Contact Information

Primary practice address
550 New Waverly Place Suite #120 Cary NC 27511
Phone: (919) 233-6614
Fax: (919) 233-6615
Website:
Map and Directions
Authorized official contact:
Name: Reddy, Edavally N Doctor of Medicine (MD)
Phone: (919) 233-6614

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 9800854 North Carolina

Profile Details

NPI number 1972531887
LBN Legal business name Prime Internal Medicine P.A.
DBA Doing business as
Authorized official Reddy, Edavally N Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 29th, 2006
Last updated Aug 22nd, 2020 - about 4 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 1972531887 NPPES
North Carolina MEDICAID 891224U

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