Organization
CAROLINA INTERNAL MEDICINE OF ASHEBORO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IMRAN PASHA HAQUE M.D. (PRESIDENT/OWNER)
(336) 672-6000
Entity
Organization
Contact information
Practice address
610 N FAYETTEVILLE ST, SUITE 200, ASHEBORO, NC 27203-4670
(336) 672-6000
(336) 672-6001
Mailing address
610 N FAYETTEVILLE ST, SUITE 200, ASHEBORO, NC 27203-4670
(336) 672-6000
(336) 672-6001
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89015WX
—
NC
Enumeration date
12/27/2005
Last updated
09/19/2007
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