PRITI PANJAK PATWARI (NPI# 1639334550) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639334550 |
| Entity Type | Individual |
| Full Name | PRITI PANJAK PATWARI |
| Credential | M.D. |
| Practice Address |
2304 Wesvill Ct Ste 240 Raleigh NC 27607-2973 |
| Practice Telephone | 9195711567 |
| Practice Fax Number | 9197821472 |
| Mailing Telephone | 9195711567 |
| Mailing Fax Number | 9197821472 |
| Enumeration Date | 2008-07-21 |
| Last Update Date | 2020-11-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
2016-01783 | NC | Allopathic & Osteopathic Physicians |
| Y | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
01072734A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 1639334550 | 05 |
| Street Address |
2304 WESVILL CT STE 240 |
| City | RALEIGH |
| State | NC |
| Zip Code | 27607-2973 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669474268 | Laurie May Marston | Obstetrics & Gynecology | 2304 Wesvill Ct, Ste 210, Raleigh, NC 27607-2973 | 2005-08-12 |
| 1881205276 | Terri Lewellen Robinson | Physician Assistant | 2304 Wesvill Ct, Ste 240, Raleigh, NC 27607-2973 | 2020-08-11 |
| 1538410683 | Diane S Tilley | Nurse Practitioner | 2304 Wesvill Ct, Suite 240, Raleigh, NC 27607-2973 | 2012-09-28 |
| 1063721223 | John Andrew Bullington | Nurse Practitioner | 2304 Wesvill Ct, Suite 240, Raleigh, NC 27607-2973 | 2010-10-05 |
| 1023342938 | Nisha Thannikkary Manickam | Internal Medicine | 2304 Wesvill Ct, Ste 240, Raleigh, NC 27607-2973 | 2009-09-24 |
| 1215179247 | Jay Christopher Sellers | Internal Medicine | 2304 Wesvill Ct, Ste 240, Raleigh, NC 27607-2973 | 2009-04-06 |
| 1073794921 | Glenn M Davis | Specialist | 2304 Wesvill Ct, # 360, Raleigh, NC 27607-2973 | 2007-11-20 |
| 1245410901 | Jeremy W Pyle | Plastic Surgery | 2304 Wesvill Ct, Suite 360, Raleigh, NC 27607-2973 | 2007-11-11 |
| 1861680928 | Benjamin Chadwick Wood | Surgery | 2304 Wesvill Ct, Suite 360, Raleigh, NC 27607-0058 | 2007-10-12 |
| 1053510529 | Frederique C Bailliard | Internal Medicine | 2304 Wesvill Ct, Suite 320, Raleigh, NC 27607-2973 | 2007-07-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972093144 | Kyndra Lawson | Behavior Technician | 5121 Kingdom Way, Suite 100, Raleigh, NC 27607 | 2018-05-14 |
| 1578082905 | Margaret Roberts Bova | Dietitian, Registered | 4207 Lake Boone Trail, Suite 210, Raleigh, NC 27607 | 2017-09-18 |
| 1184141897 | Chricat Garrard | Nurse Practitioner | 4207 Lake Boone Trl Ste 200, Raleigh, NC 27607 | 2017-08-23 |
| 1487178620 | John Patrick Morton | Pharmacist | 2411 Landmark Dr, Raleigh, NC 27607 | 2017-07-31 |
| 1023538857 | Heather Margaret Mazzola | Audiologist | 7800 Lake Boone Trail, 100, Raleigh, NC 27607 | 2017-06-22 |
| 1790216984 | North Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2411 Landmark Drive, Raleigh, NC 27607 | 2017-03-21 |
| 1558819516 | Corilin Nocito Meggitt | Nurse Practitioner | 4505 Fair Meadows Ln Ste 102, Raleigh, NC 27607 | 2016-09-19 |
| 1942757034 | Stacie Walker | Obstetrics & Gynecology | 4414 Lake Boone Trl Ste 311, Raleigh, NC 27607 | 2016-09-06 |
| 1831644533 | Alisa Smajlagic Howe | Nurse Practitioner | 4210 Lake Boone Trail, Rex Rehab & Nursing Center, Raleigh, NC 27607 | 2016-08-23 |
| 1235598632 | Yoseph Saleh | Dentist | 107 Minden Ln, Raleigh, NC 27607 | 2016-02-15 |
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| Taxonomy Code | 207RI0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Infectious Disease |
| An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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 |
|---|---|---|---|---|
| 1255694626 | Carlos A. Duchesne | Internal Medicine | 8505 Waterchase Ct, Raleigh, NC 27613-6273 | 2012-06-20 |
| 1497933352 | Carl Neil Kraus | Internal Medicine | 8215 Cushing St, Raleigh, NC 27613-6983 | 2008-02-03 |
| 1437109139 | Raleigh Infectious Diseases Associates Pa | Internal Medicine | 2304 Wesvill Court, Suite 240, Raleigh, NC 27607 | 2006-05-11 |
| 1457680183 | Jisha John | Internal Medicine | 2304 Wesvill Ct Ste 240, Raleigh, NC 27607-2973 | 2009-12-08 |
| 1023342938 | Nisha Thannikkary Manickam | Internal Medicine | 2304 Wesvill Ct, Ste 240, Raleigh, NC 27607-2973 | 2009-09-24 |
| 1215179247 | Jay Christopher Sellers | Internal Medicine | 2304 Wesvill Ct, Ste 240, Raleigh, NC 27607-2973 | 2009-04-06 |
| 1972654523 | Jeffrey Engel | Internal Medicine | 10 Sunnybrook Rd, Raleigh, NC 27610-1808 | 2007-01-12 |
| 1154427441 | Henry Thomas Radziewicz | Internal Medicine | 2304 Wesvill Ct, Suite 240, Raleigh, NC 27607-2973 | 2006-09-15 |
| 1730114943 | Ravindran A Padmanabhan | Internal Medicine | 2304 Wesvill Ct, Suite 240, Raleigh, NC 27607-2973 | 2006-07-12 |
| 1457307357 | John J Engemann | Internal Medicine | 2304 Wesvill Ct, Suite 240, Raleigh, NC 27607-2973 | 2006-05-25 |
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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.