Basic Information
Provider Information
NPI: 1346775590
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ISKANDER
FirstName: CAROLINE
MiddleName: NEWMAN
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2322 DANBURY RD
Address2:  
City: GREENSBORO
State: NC
PostalCode: 274085124
CountryCode: US
TelephoneNumber: 3364024543
FaxNumber:  
Practice Location
Address1: UNC DEPARTMENT OF PEDIATRICS 260 MACNIDER CLB
Address2:  
City: CHAPEL HILL
State: NC
PostalCode: 275997220
CountryCode: US
TelephoneNumber: 9199661505
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/25/2017
LastUpdateDate: 07/08/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 07/08/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208000000X227261NCY Allopathic & Osteopathic PhysiciansPediatrics 

No ID Information.


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