Provider Demographics
NPI:1437316916
Name:SMITH, ANA CARLA PEREZ (MD)
Entity Type:Individual
Prefix:DR
First Name:ANA CARLA
Middle Name:PEREZ
Last Name:SMITH
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 1:820 BROAD ST
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27705-4138
Mailing Address - Country:US
Mailing Address - Phone:919-794-3919
Mailing Address - Fax:919-286-1762
Practice Address - Street 1:820 BROAD ST
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27705-4138
Practice Address - Country:US
Practice Address - Phone:919-794-3919
Practice Address - Fax:919-286-1762
Is Sole Proprietor?:No
Enumeration Date:2008-05-21
Last Update Date:2016-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2008-009592084P0804X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry