MR. MARAT FUDIM (NPI# 1013262419) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013262419 |
| Entity Type | Individual |
| Full Name | MR. MARAT FUDIM |
| Credential | M.D. |
| Practice Address |
7624a Hosp N Cardiology Program Office Durham NC 27710 |
| Mailing Address |
2209 S Sterling St Ste 530 Morganton NC 28655-4093 |
| Practice Telephone | 9196816197 |
| Mailing Telephone | 8285804230 |
| Mailing Fax Number | 8285804239 |
| Enumeration Date | 2012-07-23 |
| Last Update Date | 2018-06-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
2017-00687 | NC | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 7624a Hosp N, Cardiology Program Office, Durham, NC 277100001 | 9196816197 |
| Street Address |
7624A HOSP N CARDIOLOGY PROGRAM OFFICE |
| City | DURHAM |
| State | NC |
| Zip Code | 27710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255978334 | Anna Rapoport | Nurse Practitioner | Duke Medicine Center, 40 Duke Medicine Circle, Durham, NC 27710 | 2019-12-08 |
| 1649764846 | Kelly Johanna Valencia | Nurse Practitioner | 2301 Erwin Road Duke North Box # 3677, Durham, NC 27710 | 2018-06-20 |
| 1437656717 | Hugh Khoi Quach | Student in an Organized Health Care Education/Training Program | 2301 Erwin Road, Durham, Durham, NC 27710 | 2018-04-12 |
| 1154827046 | Shannon M Beeley | Registered Nurse | Duke Rheumatology Clinic 40 Medicine Circle Cinic 1j, Durham, NC 27710 | 2018-04-01 |
| 1669902862 | Hilary Kristina Dietz | Student in an Organized Health Care Education/Training Program | 30 Duke Medicine Circle Drive, Morris Building Room 25169, Durham, NC 27710 | 2017-06-20 |
| 1174071443 | Gabriel Streisfeld | Physical Therapist | 2301 Erwin Rd Dumc 3965, Durham, NC 27710 | 2016-09-15 |
| 1568810505 | Amber Mcvey | Nurse Practitioner | 04276 Hospital South Box 3677, Durham, NC 27710 | 2016-06-01 |
| 1891149696 | Tiziana T Coppola | Student in an Organized Health Care Education/Training Program | 2301 Erwin Rd, Durham, NC 27710 | 2016-04-18 |
| 1568822864 | Nicole Smith | Nurse Practitioner | 2301 Erwin Rd Box 3116, Durham, NC 27710 | 2016-02-29 |
| 1548656150 | Jesse David Rhodes | Hospitalist | Hospital Medicine, Duke University Hospital, 40 Duke Medicine Circle, Durham, NC 27710 | 2015-04-09 |
| Find all providers in zip 27710 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619467529 | Clerio Francisco De Azevedo Filho | Internal Medicine | 10 Medicine Circle - Duke Medical Pavilion Room 1e50, Durham, NC 27710-0001 | 2018-05-16 |
| 1376956714 | Anthony Carnicelli | Internal Medicine | 2301 Erwin Rd Dumc 3845 Duke University Hospital, Durham, NC 27710-6110 | 2014-06-03 |
| 1508289398 | Shabina Sheikh | Internal Medicine | 6 Dawson Ct, Durham, NC 27703-9424 | 2014-01-29 |
| 1134417660 | Amit Vipin Patel | Internal Medicine | 1821 Hillandale Rd Ste 25c, Durham, NC 27705-2671 | 2011-07-18 |
| 1861636300 | Tiffany Patrice Randolph | Internal Medicine | Dumc Box 3182, Duke University Internal Medicine Program, Durham, NC 27710 | 2009-04-28 |
| 1588831903 | Zainab Samad | Internal Medicine | Orange Zone Duke Rm 3347a, 200 Trent Drive, Durham, NC 27710-0001 | 2008-05-14 |
| 1275709149 | Deepak Voora | Internal Medicine | 905 S Lasalle St, 2004 - Snyderman Building, Durham, NC 27710-3017 | 2008-05-01 |
| 1386817104 | Jason Koontz | Internal Medicine | 3919 Sterling Ridge Ln, Durham, NC 27707-5459 | 2008-04-13 |
| 1932381829 | Richa Agarwal | Internal Medicine | Duke University Medical Center 2301 Erwin Road, Durham, NC 27710 | 2007-12-03 |
| 1710029475 | Robert A Rosati | Internal Medicine | 3543 Rose of Sharon Rd, Durham, NC 27712-3308 | 2007-02-12 |
| Find all providers in DURHAM | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.