NPIMap

Organization Active NPI

Carolina Internal Medicine of Asheboro

  • Primary Care Clinic/Center
  • Asheboro, NC
National Provider Identifier
1366429938
Registry record updated Sep 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
CAROLINA INTERNAL MEDICINE OF ASHEBORO
Practice address
610 N Fayetteville St
Suite 200
Asheboro, NC 27203-4670
Phone
(336) 672-6000
Fax
(336) 672-6001
NPI assigned
Dec 27, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Imran Pasha Haque, M.D.
Title
President/Owner
Phone
(336) 672-6000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

610 N Fayetteville St
Suite 200
Asheboro, NC 27203-4670

Mailing address

610 N Fayetteville St
Suite 200
Asheboro, NC 27203-4670
Phone (336) 672-6000

Other identifiers 1

IdentifierTypeStateIssuer
89015WXMedicaidNC

National Provider Directory

National Provider Directory

Locations

610 N Fayetteville St
Ste 200
Asheboro, NC 27203
Phone (336) 672-6000

422 N Church St
Asheboro, NC 27203
Phone (336) 625-1319

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1135641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190160000000",
    "number": "1366429938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 N FAYETTEVILLE ST",
            "address_2": "SUITE 200",
            "city": "ASHEBORO",
            "state": "NC",
            "postal_code": "272034670",
            "telephone_number": "336-672-6000",
            "fax_number": "336-672-6001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 N FAYETTEVILLE ST",
            "address_2": "SUITE 200",
            "city": "ASHEBORO",
            "state": "NC",
            "postal_code": "272034670",
            "telephone_number": "336-672-6000",
            "fax_number": "336-672-6001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA INTERNAL MEDICINE OF ASHEBORO",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-27",
        "last_updated": "2007-09-19",
        "status": "A",
        "authorized_official_last_name": "HAQUE",
        "authorized_official_first_name": "IMRAN",
        "authorized_official_middle_name": "PASHA",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "336-672-6000",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89015WX",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.