Provider Demographics
NPI:1427376888
Name:CAROLINA REGIONAL ARTHRITIS & RHEUMATOLOGY PA
Entity Type:Organization
Organization Name:CAROLINA REGIONAL ARTHRITIS & RHEUMATOLOGY PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RHEUMATOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:GEETA
Authorized Official - Middle Name:
Authorized Official - Last Name:KATWA
Authorized Official - Suffix:
Authorized Official - Credentials:MD,
Authorized Official - Phone:252-686-0932
Mailing Address - Street 1:717 ROSANNE DR
Mailing Address - Street 2:SUITE 2
Mailing Address - City:KINSTON
Mailing Address - State:NC
Mailing Address - Zip Code:28504-1500
Mailing Address - Country:US
Mailing Address - Phone:252-686-0932
Mailing Address - Fax:252-686-0934
Practice Address - Street 1:717 ROSANNE DR
Practice Address - Street 2:SUITE 2
Practice Address - City:KINSTON
Practice Address - State:NC
Practice Address - Zip Code:28504-1500
Practice Address - Country:US
Practice Address - Phone:252-258-6722
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-11
Last Update Date:2010-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC200000845261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC89127JRMedicaid
NC89127JRMedicaid