Individual
DR. PAMELA ANEIBEI MBANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2304 WESVILL CT, RALEIGH, NC 27607-0058
(919) 235-1802
(919) 235-1354
Mailing address
PO BOX 603949, CHARLOTTE, NC 28260-3949
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301091042
MI
207RI0200X
Infectious Disease Physician
0101258051
VA
207RI0200X
Infectious Disease Physician
Primary
2016-02013
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1417961137
BCBSM - BMH
MI
05
—
1699968347
—
MI
05
—
1699968347
—
NC
Enumeration date
08/24/2007
Last updated
12/30/2024
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