Organization
CAROLINA PULMONARY & SLEEP CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRIYAN SAMARAKOON MD (OWNER / ORGANIZER)
(919) 439-8580
Entity
Organization
Contact information
Practice address
3750 NW CARY PKWY STE 120, CARY, NC 27513-8432
(919) 439-8580
(919) 463-5600
Mailing address
3750 NW CARY PKWY STE 120, CARY, NC 27513-8432
(919) 439-8580
(919) 463-5600
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2009-01120
NC
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
2009-01120
NC
207RP1001X
Pulmonary Disease Physician
Primary
2009-01120
NC
207RS0012X
Sleep Medicine (Internal Medicine) Physician
2009-01120
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2684188
UNITED HEALTHCARE
NC
01
—
4222151
CIGNA
NC
05
—
5916950
—
NC
01
—
7462841
AETNA
—
05
—
GP5609
—
SC
Enumeration date
01/31/2011
Last updated
06/26/2012
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