Provider Demographics
NPI:1285675272
Name:WARD, EMAD (MD)
Entity Type:Individual
Prefix:
First Name:EMAD
Middle Name:
Last Name:WARD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:OLD HIGHWAY 75
Mailing Address - Street 2:
Mailing Address - City:BUTNER
Mailing Address - State:NC
Mailing Address - Zip Code:27509
Mailing Address - Country:US
Mailing Address - Phone:919-575-3900
Mailing Address - Fax:
Practice Address - Street 1:OLD HIGHWAY 75
Practice Address - Street 2:
Practice Address - City:BUTNER
Practice Address - State:NC
Practice Address - Zip Code:27509
Practice Address - Country:US
Practice Address - Phone:919-575-3900
Practice Address - Fax:910-295-5481
Is Sole Proprietor?:No
Enumeration Date:2006-06-09
Last Update Date:2007-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCFH1020570OtherFIRSTCAROLINACAREPROV.#
SCN0053COtherSC MEDICAID PROVIDER#
NC189165OtherMEDCOST PROVIDER#
NC142A1OtherBC/BS NC PROVIDER#
NC5903542Medicaid
SCN0053COtherSC MEDICAID PROVIDER#
H15047Medicare UPIN