Tamberella, Michael Raymond
Tamberella, Michael Raymond is an individual health care provider with primary practice located at 2555 Court Dr Suite 200, Gastonia NC 28054-2134. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Tamberella, Michael Raymond can be contacted via phone (704) 867-2141.Contact Information
Primary practice address
2555 Court Dr Suite 200
Gastonia NC 28054-2134
Phone: (704) 867-2141
Fax: (704) 867-2308
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 009800404 | North Carolina |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 9800404 | North Carolina |
Profile Details
| NPI number | 1326035841 |
|---|---|
| LBN Legal business name | Tamberella, Michael Raymond |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 30th, 2005 |
| Last updated | Aug 12th, 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 | 1326035841 | NPPES |
| North Carolina | MEDICAID | 891364U | |
| North Carolina | MEDICAID | N0040G |
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