Individual
DR. SUMEDHA SANJIV DALVI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5085 MORGANTON RD, SUITE 100, FAYETTEVILLE, NC 28314-1497
(910) 864-0689
(910) 864-3747
Mailing address
5085 MORGANTON RD, STE 100, FAYETTEVILLE, NC 28314-1497
(910) 864-0689
(910) 864-3747
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
9800506
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
432024077
TAX ID
NC
05
—
861015X
—
NC
Enumeration date
11/06/2006
Last updated
10/14/2019
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