Medina, Victor A.
Medina, Victor A. is an individual health care provider with primary practice located at 115 Crescent Commons Dr Suite 200, Cary NC 27518-8102. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Medina, Victor A. can be contacted via phone (919) 851-5055.Contact Information
Primary practice address
115 Crescent Commons Dr Suite 200
Cary NC 27518-8102
Phone: (919) 851-5055
Fax: (919) 851-3065
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 32145 | North Carolina |
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 32145 | North Carolina |
Profile Details
| NPI number | 1932259009 |
|---|---|
| LBN Legal business name | Medina, Victor A. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 11th, 2007 |
| Last updated | Aug 11th, 2010 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932259009 | NPPES |
| North Carolina | Other | 58459 | BCBSNC |
| North Carolina | MEDICAID | 8958459 | BCBSNC |
| North Carolina | Other | 020014831 | BCBSNC |
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