Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 036.120977 | IL |
N | 111NI0900X | Internist | 036.120977 | IL |
N | 207R00000X | Internist | 48645 | WI |
N | 111NI0900X | Internist | 48645 | WI |
N | 207RC0200X | Critical Care Medicine | 2012-02157 | NC |
Y | 207RP1001X | Pulmonary Disease | 2012-02157 | NC |
N | 207RS0012X | Sleep Medicine | 2012-02157 | NC |
NPI | 1013017748 |
---|---|
Provider Name | Adnan Pervez |
First Address | Raleigh, NC 27607-7520 |
Second Address | Raleigh, NC 27607-7520 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/09/2006 |
Last Update Date | 18/05/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
34820100 | (05) | WI |
I48969 | (02) |