NPI 1083673404

Shamil J. Morayati, MD

Organisation Preferred Provider Organization Burlington, NC

Practice location

Address: 2921 Crouse Ln, Burlington, NC 27215-8833
Phone: (336) 585-1212
Fax: (336) 585-1112

Authorised official

Name: Sam J Morayati
Title: Owner
Phone: (336) 585-1212

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence 33871 (NC)

Other Preferred Provider Organization providers in North Carolina →

Registry record

NPI: 1083673404
Entity type: Organization
NPI issued: 23 Mar 2006
Record last updated: 31 Mar 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.