Organization
CAPITAL CARDIOVASCULAR SURGERY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABDUL G CHAUDHRY M.D. (PRESIDENT)
(919) 787-1772
Entity
Organization
Contact information
Practice address
3214 CHARLES B ROOT WYND, 203, RALEIGH, NC 27612-5440
(919) 787-1772
Mailing address
3214 CHARLES B ROOT WYND, 203, RALEIGH, NC 27612-5440
(919) 787-1772
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
25784
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0135L
BCS NC
NC
05
—
890135L
—
NC
Enumeration date
03/15/2007
Last updated
08/22/2020
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