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Contact Information

MITHILA FADIA
10208 CERNY ST STE 104
RALEIGH, NC27617-7885
 Phone: 984-500-3165
 Fax: 984-500-3166
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurology

2084N0400X 13 Physician/Neurology
 

Neuromuscular Medicine

2084N0008X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for MITHILA FADIA · (Female)

NPI Number 1144631557
Status Active
Credentials
Entity Individual
Enumeration date 05/20/2014
Last updated 07/12/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 036.150713
  • NC License # 2021-03125
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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