Organization
AJEY B GOLWALA, MD ,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AJEY B GOLWALA MD (PRESIDENT)
(919) 787-5333
Entity
Organization
Contact information
Practice address
1012 PROCURE ST, FUQUAY VARINA, NC 27526-2620
(919) 552-5303
(919) 567-0004
Mailing address
2500 BLUE RIDGE RD, SUITE 327, RALEIGH, NC 27607-6454
(919) 787-5333
(919) 567-0004
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
207R00000X
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110105438
RR MEDICARE
NC
01
—
36415
BCBS
NC
05
—
8936145
—
NC
Enumeration date
01/04/2008
Last updated
02/26/2026
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