Organization
HAMLET MEDICAL CLINIC.P.A
Active
Organization
HAMLET MEDICAL CLINIC.P.A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BHARATKUMAR NATVERLAL THAKKAR M.D. (PRESIDENT)
(910) 920-1579
Entity
Organization
Contact information
Practice address
400 KIMBERWICKE DR, FAYETTEVILLE, NC 28311-7177
(910) 920-1579
Mailing address
400 KIMBERWICKE DR, FAYETTEVILLE, NC 28311-7177
(910) 920-1579
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
9500248
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110229797
RAILROAD MEDICARE
NC
05
—
7982447
—
NC
01
—
82447
BLUE CROSS BLUE SHIELD
NC
Enumeration date
04/15/2007
Last updated
03/07/2023
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