Prime Pediatrics Inc

LBN: Prime Pediatrics Inc
Prime Pediatrics Inc is an health care organization with primary practice located at 3415B Melrose Road , Fayetteville NC 28304. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Prime Pediatrics Inc can be contacted via phone (910) 437-9600, or through Dhandha, Medhavini H via phone (910) 437-9600.

Contact Information

Primary practice address
3415B Melrose Road Fayetteville NC 28304
Fax: (910) 437-9801
Website:
Authorized official contact:
Name: Dhandha, Medhavini H Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 9401399 North Carolina

Profile Details

NPI number 1760453450
LBN Legal business name Prime Pediatrics Inc
DBA Doing business as
Authorized official Dhandha, Medhavini H Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 30th, 2006
Last updated Aug 22nd, 2020 - about 5 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 1760453450 NPPES
North Carolina MEDICAID 7928785

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