Basic Information
Provider Information
NPI: 1184005100
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: NOHRIA
FirstName: RAMAN
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
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OtherLastName:  
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OtherMiddleName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 5213 S ALSTON AVE
Address2:  
City: DURHAM
State: NC
PostalCode: 277134430
CountryCode: US
TelephoneNumber: 9196204855
FaxNumber:  
Practice Location
Address1: 2100 ERWIN RD
Address2:  
City: DURHAM
State: NC
PostalCode: 277053941
CountryCode: US
TelephoneNumber: 9196846721
FaxNumber: 9196817085
Other Information
ProviderEnumerationDate: 06/16/2015
LastUpdateDate: 10/25/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
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AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
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AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 10/25/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Q00000X264002MAN Allopathic & Osteopathic PhysiciansFamily Medicine 
207Q00000X2020-00110NCY Allopathic & Osteopathic PhysiciansFamily Medicine 

No ID Information.


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