Individual
MURALI DHARA PISHARODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
555 CARTHAGE ST, SANFORD, NC 27330-4104
(919) 774-6518
(919) 774-1831
Mailing address
205 PAGE RD, PINEHURST, NC 28374-8798
(919) 774-6518
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
135447
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
153V7
BC/BS NC
NC
05
—
5914545
—
NC
01
—
FH1100710
FIRSTCAROLINACARE
NC
01
—
P00829221
PALMETTO GBA/RR MEDICARE
—
Enumeration date
07/20/2007
Last updated
01/23/2018
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