Organization
CAROLINA SPECIALTY ONCOLOGY, PA
Active
Organization
CAROLINA SPECIALTY ONCOLOGY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN P KHOUDARY M.D. (DIRECTOR)
(919) 334-3900
Entity
Organization
Contact information
Practice address
117 SUNNYBROOK RD, RALEIGH, NC 27610-1827
(919) 334-3910
(919) 250-9280
Mailing address
117 SUNNYBROOK RD, RALEIGH, NC 27610-1827
(919) 334-3910
(919) 250-9280
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01708
BCBS
NC
05
—
5922273
—
NC
Enumeration date
03/02/2006
Last updated
12/09/2015
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