Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | 2012-01390 | NC |
N | 207R00000X | Internist | LP01358 | RI |
N | 111NI0900X | Internist | LP01358 | RI |
NPI | 1457513137 |
---|---|
Provider Name | Melissa L Pabalan |
First Address | Durham, NC 27713-4430 |
Second Address | Durham, NC 27704-2702 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/06/2008 |
Last Update Date | 17/08/2012 |