Provider Demographics
NPI:1861669681
Name:MUKERJEE, ROMITA (MD)
Entity Type:Individual
Prefix:
First Name:ROMITA
Middle Name:
Last Name:MUKERJEE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3031 NEW BERN AVE
Mailing Address - Street 2:STE 306
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27610-2989
Mailing Address - Country:US
Mailing Address - Phone:919-459-8409
Mailing Address - Fax:919-231-3912
Practice Address - Street 1:790 SE CARY PKWY STE 101
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27511-5678
Practice Address - Country:US
Practice Address - Phone:919-235-0644
Practice Address - Fax:919-380-8285
Is Sole Proprietor?:No
Enumeration Date:2008-05-12
Last Update Date:2022-04-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC201201162207RN0300X, 207RN0300X
FLME117671207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLHQ209XMedicare PIN