Provider Demographics
NPI:1407941784
Name:MENDES, ROBERT R (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:R
Last Name:MENDES
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Gender:M
Credentials:MD
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Mailing Address - Street 1:4414 LAKE BOONE TRL
Mailing Address - Street 2:SUITE # 108
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27607-7513
Mailing Address - Country:US
Mailing Address - Phone:919-784-2300
Mailing Address - Fax:919-784-2301
Practice Address - Street 1:4414 LAKE BOONE TRL
Practice Address - Street 2:SUITE # 108
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27607-7513
Practice Address - Country:US
Practice Address - Phone:919-784-2300
Practice Address - Fax:919-784-2301
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2021-04-02
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Provider Licenses
StateLicense IDTaxonomies
NC200100421208600000X, 2086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
No208600000XAllopathic & Osteopathic PhysiciansSurgery