Individual
PAHRESAH LENORE ROOMIANY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3643 N ROXBORO ST, DURHAM, NC 27704-2702
(919) 684-8111
Mailing address
5213 S ALSTON AVE, DURHAM, NC 27713-4430
(919) 684-8111
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2012-00116
NC
390200000X
Student in an Organized Health Care Education/Training Program
156952
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5920318
—
NC
Enumeration date
06/24/2009
Last updated
10/10/2012
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