Individual
DR. VICTOR A. MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
115 CRESCENT COMMONS DR, SUITE 200, CARY, NC 27518-8102
(919) 851-5055
(919) 851-3065
Mailing address
115 CRESCENT COMMONS DR, SUITE 200, CARY, NC 27518-8102
(919) 851-5055
(919) 851-3065
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
32145
NC
2086S0129X
Vascular Surgery Physician
Primary
32145
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020014831
MEDICARE RR
NC
01
—
58459
BCBSNC
NC
05
—
8958459
—
NC
Enumeration date
01/11/2007
Last updated
08/11/2010
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