Organization
RAPHA HEALTH SYSTEM INC
Active
Other names
RAPHA MEDICAL CLINIC PA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL CHIDI UBA MD, INTERNAL MEDICIN (OWNER, MD)
(910) 864-4357
Entity
Organization
Contact information
Practice address
1905 SKIBO RD, SUITE 100, FAYETTEVILLE, NC 28314-1518
(910) 864-4357
(910) 221-0099
Mailing address
1905 SKIBO RD, SUITE 100, FAYETTEVILLE, NC 28314
(910) 864-4357
(910) 221-0099
Taxonomy
Speciality
Code
Description
License number
State
170100000X
Ph.D. Medical Genetics
200100099
NC
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89129MG
—
NC
Enumeration date
12/28/2005
Last updated
08/03/2021
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