Individual
ANITA M PISHARODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6020 FAYETTEVILLE RD, DURHAM, NC 27713-9754
(919) 572-2000
Mailing address
PO BOX 3559, DURHAM, NC 27702-3559
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
99-00118
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5905154
—
NC
01
—
99-00118
LICENSE NUMBER
NC
Enumeration date
09/21/2006
Last updated
07/08/2007
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