Carolina Internal Medicine Center PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

200401422 Issued in NC

Legal business name

CAROLINA INTERNAL MEDICINE CENTER PA

Practice address

109 S Vance St
Sanford, NC 27330-4372

Phone

(919) 776-4040

Fax

(919) 776-4043

NPI assigned

Sep 2, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Farhad Michael Nasseri

Title

Secretary

Phone

(919) 776-4040

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1251849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252540800000",
    "number": "1851524292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1025",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273311025",
            "telephone_number": "919-776-4040",
            "fax_number": "919-776-4043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 S VANCE ST",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273304372",
            "telephone_number": "919-776-4040",
            "fax_number": "919-776-4043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA INTERNAL MEDICINE CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-02",
        "last_updated": "2009-09-10",
        "status": "A",
        "authorized_official_last_name": "NASSERI",
        "authorized_official_first_name": "FARHAD",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "919-776-4040",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "200401422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolina Anti-Aging & Wellness Center PA
• Carolina Brain Wellness Center PLLC
• Carolina Dialysis, LLC (Carolina Dialysis- Lee County)
• Carolina Dialysis, LLC (Carolina Dialysis - Sanford)
• Carolina Eye Associates Inc (Carolina Eye Associates PA)
• Carolina Internal Medicine of Sanford PA
• Carolina Medicine, P.C.
• Carolina Medicine, P.C.
• Carolina Pines Family Medicine
• Carolina Women's Health Center, PA

• Internal Medicine Physician in Sanford, NC
• Providers in Sanford, NC by specialty
• Internal Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2009; 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.