Individual
PINAKIN PUSHKARRAI VIAS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4384 FAYETTEVILLE RD, LUMBERTON, NC 28358-2677
(910) 738-1141
(910) 738-1142
Mailing address
4384 FAYETTEVILLE RD, LUMBERTON, NC 28358-2677
(910) 738-1141
(910) 738-1142
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8506Y
BCBS
NC
05
—
898506Y
—
NC
Enumeration date
06/30/2005
Last updated
07/08/2007
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