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SURGICAL MEDICAL CLINIC NPI 1417378779


NPI Information

NPI: 1417378779
Provider Name: SURGICAL MEDICAL CLINIC

Other Name: DR NASEEM NASRALLAH

Classification: Surgery - 208600000X
Entity Type: Organization
Address:
407 EAST FREMONT STREET
BURGAW, NC
ZIP 28425
Phone: (910) 259-2161
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SURGICAL MEDICAL CLINIC is a surgery in Burgaw, NC. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. SURGICAL MEDICAL CLINIC NPI is 1417378779. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Dr Naseem Nasrallah.

The provider's business location address is:

407 EAST FREMONT STREET
BURGAW, NC
ZIP 28425-729
Phone: (910) 259-2161
Fax: (910) 259-7870

The provider's authorized official is Naseem H Nasrallah .
The authorized official title is Owner and has the following contact phone number (910) 259-2161.

The enumeration date for this NPI number is 1/3/2014 and was last updated on 1/3/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP2300XNurse PractitionerPrimary Care5005024NORTH CAROLINANo
2208600000XSurgery19763NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1213309AMEDICARE PINNORTH CAROLINA
21235445982OTHERNORTH CAROLINANC MEDICARE AND MEDICAID # PENDING FOR NPI # 1235445982
37961886MEDICAIDNORTH CAROLINA
4B65117MEDICARE UPINNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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