Provider Demographics
NPI:1417065236
Name:ARCOT, NARENDER D (MD)
Entity Type:Individual
Prefix:
First Name:NARENDER
Middle Name:D
Last Name:ARCOT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:203 STAGECOACH DR
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28546-9617
Mailing Address - Country:US
Mailing Address - Phone:910-355-6696
Mailing Address - Fax:910-355-6696
Practice Address - Street 1:31 OFFICE PARK DR
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28546-3219
Practice Address - Country:US
Practice Address - Phone:910-346-5016
Practice Address - Fax:910-346-4561
Is Sole Proprietor?:No
Enumeration Date:2006-08-29
Last Update Date:2020-09-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC200100829207QG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1417065236Medicaid
NC130AHOtherBCBS OF NC
NC2292281EMedicare PIN
NC89130AHMedicaid