Id Sol PLLC

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

Legal business name

ID SOL PLLC

Practice address

2401 S Side Blvd
Greensboro, NC 27406-3311

Phone

(336) 604-2300

NPI assigned

Dec 18, 2020

Organization subpart

No

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

Authorized official

Name

Anupama Matcha, M.D.

Title

President/Owner

Phone

(954) 234-7566

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1608249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608249600000",
    "number": "1841886397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6811 KOALA DR",
            "city": "OAK RIDGE",
            "state": "NC",
            "postal_code": "273106604",
            "telephone_number": "954-234-7566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 S SIDE BLVD",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274063311",
            "telephone_number": "336-604-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ID SOL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-18",
        "last_updated": "2020-12-18",
        "certification_date": "2020-12-18",
        "status": "A",
        "authorized_official_last_name": "MATCHA",
        "authorized_official_first_name": "ANUPAMA",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "954-234-7566",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria A Ibarra, MD
• Wesley Robert Ibazebo, M.D.
• Bea Shanin I Ibe
• Melanie Ibrahim
• Sadou Ibrahim
• Julie Lynn Idol, PA
• Akhagboye Olufunke Idowu
• Michael Anthony Ignelzi Jr., DDS PHD
• Ignite Physical Therapy
• Michael Patrick Igo, RPH

• Infectious Disease Physician in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Infectious Disease Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2020; 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.