Organization
RALEIGH PRIMARY CARE MEDICINE, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BALWINDER S SIDHU M.D. (PRESIDENT)
(919) 781-6655
Entity
Organization
Contact information
Practice address
3200 FAIRHILL DR, STE. 106, RALEIGH, NC 27612-3218
(919) 781-6655
(919) 781-0306
Mailing address
3200 FAIRHILL DR, STE. 106, RALEIGH, NC 27612-3218
(919) 781-6655
(919) 781-0306
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2205481F
MEDICARE
NC
05
—
8976117
—
NC
Enumeration date
02/01/2006
Last updated
02/13/2020
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