Organization
COASTAL INFECTIOUS DISEASE CONSULTANTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMAN J PATHAK MD (OWNER)
(910) 763-4511
Entity
Organization
Contact information
Practice address
2310 DELANEY RD, WILMINGTON, NC 28403-6013
(910) 763-4511
(910) 763-6608
Mailing address
2310 DELANEY RD, WILMINGTON, NC 28403-6013
(910) 763-4511
(910) 763-6608
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
018HC
BCBSNC PROVIDER
NC
05
—
5902944
—
NC
Enumeration date
10/05/2006
Last updated
12/20/2024
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