Provider Demographics
NPI:1902848526
Name:AMARIKA FAMILY MEDICINE. P.C.
Entity Type:Organization
Organization Name:AMARIKA FAMILY MEDICINE. P.C.
Other - Org Name:TRIANGLE PHYSICIANS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:VIJAY
Authorized Official - Middle Name:R
Authorized Official - Last Name:DHOOPATI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:919-471-2910
Mailing Address - Street 1:PO BOX 61418
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27715-1418
Mailing Address - Country:US
Mailing Address - Phone:919-471-2910
Mailing Address - Fax:919-467-1855
Practice Address - Street 1:911 RIDGE RD
Practice Address - Street 2:SUITE D
Practice Address - City:ROXBORO
Practice Address - State:NC
Practice Address - Zip Code:27573-4574
Practice Address - Country:US
Practice Address - Phone:919-471-2910
Practice Address - Fax:919-467-1855
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-11
Last Update Date:2014-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC135JVOtherBCBS NC GROUP NO
NC89136CFMedicaid
NC2334136Medicare PIN