Atul Kantesaria MD PLLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

9401427 Issued in NC

Legal business name

ATUL KANTESARIA MD PLLC

Practice address

105 Hunter Cir
Fayetteville, NC 28304-3407

Phone

(910) 433-4463

Fax

(910) 491-0002

NPI assigned

Oct 1, 2007

Last updated

Jan 12, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Atul Kantesaria, M.D.NPI 1023122074

Title

Psychiatrist

Phone

(910) 433-4463

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Atul Nandlal Kantesaria, MD

  • Psychiatry Physician
  • Fayetteville, NC
  • NPI 1023122074
  Authorized official Same address or phone
• Robert K Matlack Jr., M.D.

  • Psychiatry Physician
  • Fayetteville, NC
  • NPI 1700881190
  NPD (past)

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

{
    "created_epoch": "1191196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452556800000",
    "number": "1780871152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4310 HUNTSFIELD RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283142533",
            "telephone_number": "910-584-5790",
            "fax_number": "910-491-0002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 HUNTER CIR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043407",
            "telephone_number": "910-433-4463",
            "fax_number": "910-491-0002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATUL KANTESARIA MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-01",
        "last_updated": "2016-01-12",
        "status": "A",
        "authorized_official_last_name": "KANTESARIA",
        "authorized_official_first_name": "ATUL",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "910-433-4463",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "9401427",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5903692",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Atlas Chiropractic PA
• Atlernate Hands #2 (C & E Cares)
• Ats of NC, Inc. (Carolina Treatment Center)
• Ats of North Carolina, LLC (Carolina Treatment Center of Fayetteville)
• Evelyn Attleson
• Milana Mildred Atwood, DPT
• Funmilayo Elizabeth Audu
• Raymond Oche Audu, MD
• Colleen R. August
• Anna Augustin, DO

• Psychiatry Physician in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Psychiatry Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2016; 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.