Provider Demographics
NPI:1437325446
Name:ERAMI, CAUVEH (MD)
Entity Type:Individual
Prefix:DR
First Name:CAUVEH
Middle Name:
Last Name:ERAMI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2200 CLYBORN CHURCH RD
Mailing Address - Street 2:
Mailing Address - City:LUMBERTON
Mailing Address - State:NC
Mailing Address - Zip Code:28360-9356
Mailing Address - Country:US
Mailing Address - Phone:919-739-9160
Mailing Address - Fax:
Practice Address - Street 1:2200 CLYBORN CHURCH RD
Practice Address - Street 2:
Practice Address - City:LUMBERTON
Practice Address - State:NC
Practice Address - Zip Code:28360-9356
Practice Address - Country:US
Practice Address - Phone:919-739-9160
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-04-30
Last Update Date:2015-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2011-012702080P0202X, 207QA0401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0401XAllopathic & Osteopathic PhysiciansFamily MedicineAddiction Medicine
No2080P0202XAllopathic & Osteopathic PhysiciansPediatricsPediatric Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS302I068724Medicare PIN
MS302I067249Medicare PIN