Provider Demographics
NPI:1518002807
Name:TROY SURGICAL CLINIC
Entity Type:Organization
Organization Name:TROY SURGICAL CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:RANVIR
Authorized Official - Middle Name:SINGH
Authorized Official - Last Name:ACHREIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-629-1596
Mailing Address - Street 1:522 ALLEN ST
Mailing Address - Street 2:SUITE 201
Mailing Address - City:TROY
Mailing Address - State:NC
Mailing Address - Zip Code:27371
Mailing Address - Country:US
Mailing Address - Phone:910-571-5716
Mailing Address - Fax:910-576-3367
Practice Address - Street 1:522 ALLEN ST
Practice Address - Street 2:SUITE 201
Practice Address - City:TROY
Practice Address - State:NC
Practice Address - Zip Code:27371
Practice Address - Country:US
Practice Address - Phone:910-571-5716
Practice Address - Fax:910-576-3367
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-21
Last Update Date:2008-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC27560208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
10039OtherBCBS
NC8910039Medicaid
NC203032AMedicare ID - Type Unspecified
NC8910039Medicaid