Provider Demographics
NPI:1437333465
Name:EXCEL PEDIATRICS PLLC
Entity Type:Organization
Organization Name:EXCEL PEDIATRICS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:DURGA
Authorized Official - Middle Name:
Authorized Official - Last Name:ALAHARI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:910-891-5437
Mailing Address - Street 1:145 TILGHMAN DRIVE
Mailing Address - Street 2:SUITE 300
Mailing Address - City:DUNN
Mailing Address - State:NC
Mailing Address - Zip Code:28334-5507
Mailing Address - Country:US
Mailing Address - Phone:910-891-5437
Mailing Address - Fax:910-897-7145
Practice Address - Street 1:145 TILGHMAN DRIVE
Practice Address - Street 2:SUITE 300
Practice Address - City:DUNN
Practice Address - State:NC
Practice Address - Zip Code:28334-5507
Practice Address - Country:US
Practice Address - Phone:910-891-5437
Practice Address - Fax:910-891-5437
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-27
Last Update Date:2009-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC891325RMedicaid