Provider Demographics
NPI:1851691570
Name:ALVI PRIME TIME CLINICS PLLC
Entity Type:Organization
Organization Name:ALVI PRIME TIME CLINICS PLLC
Other - Org Name:NORTH RALEIGH MEDICAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ALKA
Authorized Official - Middle Name:
Authorized Official - Last Name:SACHDEVA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-844-4344
Mailing Address - Street 1:11009 INGLESIDE PL STE 201
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27614-6697
Mailing Address - Country:US
Mailing Address - Phone:919-844-4344
Mailing Address - Fax:919-844-3244
Practice Address - Street 1:11009 INGLESIDE PL STE 201
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27614-6697
Practice Address - Country:US
Practice Address - Phone:919-844-4344
Practice Address - Fax:919-844-3244
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-27
Last Update Date:2022-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9500164146M00000X
NC9400950146M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes146M00000XEmergency Medical Service ProvidersEmergency Medical Technician, IntermediateGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC011A4OtherBCBS
NC61907OtherBCBS