Provider Demographics
NPI:1326040700
Name:DUNCAN, IRENEE M (MD)
Entity Type:Individual
Prefix:DR
First Name:IRENEE
Middle Name:M
Last Name:DUNCAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2507 KENMORE DR
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27608-1419
Mailing Address - Country:US
Mailing Address - Phone:919-781-8358
Mailing Address - Fax:
Practice Address - Street 1:2507 KENMORE DR
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27608-1419
Practice Address - Country:US
Practice Address - Phone:919-781-8358
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-08-15
Last Update Date:2011-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2004-00493207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1000420OtherUNITED HEALTHCARE
NC138THOtherBCBS NC
NC805914OtherPARTNERS
NC2131027OtherMAMSI
NCP00218602OtherMEDICARE RAILROAD
NC7426597OtherAETNA
NCENT34OtherPRIMAHEALTH
NC89138THMedicaid
NCD9670OtherMEDCOST
NC805914OtherPARTNERS
NC138THOtherBCBS NC
NC7426597OtherAETNA