Individual
MITHILA FADIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10208 CERNY ST STE 104, RALEIGH, NC 27617-7885
(984) 500-3165
(984) 500-3166
Mailing address
10208 CERNY ST STE 104, RALEIGH, NC 27617-7885
(984) 500-3165
Taxonomy
Speciality
Code
Description
License number
State
2084N0008X
Neuromuscular Medicine (Psychiatry & Neurology) Physician
036.150713
IL
2084N0008X
Neuromuscular Medicine (Psychiatry & Neurology) Physician
2021-03125
NC
2084N0400X
Neurology Physician
036.150713
IL
2084N0400X
Neurology Physician
Primary
2021-03125
NC
Other
Enumeration date
05/20/2014
Last updated
07/12/2022
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