Organization · NPI-2

Capital Cardiovascular Surgery PA

Thoracic Surgery (Cardiothoracic Vascular Surgery) · Raleigh, NC

NPI number1902930720
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1902930720
Entity type
Organization (NPI-2)
Legal business name
Capital Cardiovascular Surgery PA
Organization subpart
No
Enumeration date
Mar 15, 2007
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery)25784NCYes

Practice location

3214 Charles B Root Wynd
203
Raleigh, NC 27612-5440

Phone 919-787-1772

Mailing address

3214 Charles B Root Wynd
203
Raleigh, NC 27612-5440

Phone 919-787-1772

Authorized official

Abdul G Chaudhry
President
9197871772

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