Capital Internal Medicine & Geriatrics, P.a.

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

9701680 Issued in NC

Legal business name

CAPITAL INTERNAL MEDICINE & GERIATRICS, P.A.

Practice address

3225 Blue Ridge Rd Ste 113
Raleigh, NC 27612-8060

Phone

(919) 789-0891

Fax

(919) 789-0893

NPI assigned

Feb 6, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Syed Ahmed

Title

Manager

Phone

(919) 789-0892

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387065600000",
    "number": "1508906199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3225 BLUE RIDGE RD STE 113",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276128060",
            "telephone_number": "919-789-0891",
            "fax_number": "919-789-0893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3225 BLUE RIDGE RD STE 113",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276128060",
            "telephone_number": "919-789-0891",
            "fax_number": "919-789-0893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITAL INTERNAL MEDICINE & GERIATRICS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2013-12-15",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "SYED",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "919-789-0892",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NC",
            "license": "9701680",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3404392",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Geriatric Medicine (Internal Medicine) Physician in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Geriatric Medicine (Internal Medicine) Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2013; 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.