Individual
VIKAS PATHAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3024 NEW BERN AVE, RALEIGH, NC 27610-1247
(919) 350-7270
(919) 350-7204
Mailing address
856 J CLYDE MORRIS BLVD, STE A, NEWPORT NEWS, VA 23601-1318
(757) 316-5888
(757) 534-5190
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2011-00900
NC
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
2011-00900
NC
207RP1001X
Pulmonary Disease Physician
Primary
0101255685
VA
207RP1001X
Pulmonary Disease Physician
2011-00900
NC
Other
Enumeration date
08/29/2007
Last updated
04/04/2019
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