National Provider Identifier Database

WAKE SPECIALTY PHYSICIANS LLC
Pediatric Cardiology

A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.


Contact Information

WAKE SPECIALTY PHYSICIANS, LLC
23 SUNNYBROOK RD
RALEIGH, NC27610-1855
Phone: 919-235-6422
Fax: 919-231-0314
Website:
Specialty Taxonomy Code
* Pediatric Cardiology 2080P0202X

* Indicates primary specialty

NPI Profile & details for WAKE SPECIALTY PHYSICIANS, LLC

NPI Number 1861922775
Legal business name
LBN
WAKE SPECIALTY PHYSICIANS, LLC
Authorized official MARIA JAYOUSSI - (EXEC DIRECTOR, FINANCE)
Entity Organization
Organization subpart No
Enumeration date 06/13/2017
Last updated 07/21/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers
  • NC Medicaid: 1942440375

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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