Individual
MIR M IKRAMULLAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
155 MEMORIAL DR, PINEHURST, NC 28374-8710
(910) 715-1000
Mailing address
PO BOX 8500, PINEHURST, NC 28374-8707
(910) 715-1000
(910) 715-1926
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2016-00052
NC
207R00000X
Internal Medicine Physician
51875
KY
208M00000X
Hospitalist Physician
01083413A
IN
208M00000X
Hospitalist Physician
Primary
2016-00052
NC
208M00000X
Hospitalist Physician
51875
KY
Other
Enumeration date
03/19/2010
Last updated
03/04/2020
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