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Organization
SHAMIL J. MORAYATI, MD
Active
Organization
SHAMIL J. MORAYATI, MD
Active
Other names
Burlington Medical Ctr/Carolina Nuclear Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAM J MORAYATI MD (OWNER)
(336) 585-1212
Entity
Organization
Contact information
Practice address
2921 CROUSE LN, BURLINGTON, NC 27215-8833
(336) 585-1212
(336) 585-1112
Mailing address
2921 CROUSE LN, BURLINGTON, NC 27215-8833
(336) 585-1212
(336) 585-1112
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
33871
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
890114E
—
NC
Enumeration date
03/23/2006
Last updated
03/31/2010
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