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Individual

PRABESH BAJRACHARYA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1022 N BRAGG BLVD, SPRING LAKE, NC 28390-3316
(910) 495-7337
(910) 495-0747
Mailing address
PO BOX 647, HOPE MILLS, NC 28348-0647
(910) 483-7337
(910) 483-0648

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2015-01851
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1205066065
DOCTORS DIRECT
NC
05
1205066065
NC
01
13452368
MULTIPLAN
NC
01
1579838
COVENTRY OF THE CAROLINAS
NC
01
1796829
CIGNA GREATWEST
NC
01
19F6Y
BCBS OF NC
NC
01
299990
MEDCOST
NC
01
4632587
COVENTRY NATIONAL - COVENTRY PPO
NC
01
5680064
UNITED HEALTHCARE
NC
01
5803838
AETNA
NC
01
FH1101910
FIRST CAROLINA CARE
NC
Enumeration date
07/15/2009
Last updated
06/02/2016
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