Provider Demographics
NPI:1790788479
Name:SIEGEL, CARA B (MD)
Entity Type:Individual
Prefix:
First Name:CARA
Middle Name:B
Last Name:SIEGEL
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:3001 EDWARDS MILL RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27612-5243
Mailing Address - Country:US
Mailing Address - Phone:919-781-5600
Mailing Address - Fax:919-863-6821
Practice Address - Street 1:3001 EDWARDS MILL RD
Practice Address - Street 2:SUITE 200
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27612-5243
Practice Address - Country:US
Practice Address - Phone:919-781-5600
Practice Address - Fax:919-863-6821
Is Sole Proprietor?:No
Enumeration Date:2005-05-24
Last Update Date:2017-10-23
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Provider Licenses
StateLicense IDTaxonomies
NC95-00222208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1790788479OtherNPI
F63617Medicare UPIN