Provider Demographics
NPI:1942247416
Name:FUJIMAGARI, MICHAEL MCGRAW (MD)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:MCGRAW
Last Name:FUJIMAGARI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 12248
Mailing Address - Street 2:
Mailing Address - City:NEW BERN
Mailing Address - State:NC
Mailing Address - Zip Code:28561-2248
Mailing Address - Country:US
Mailing Address - Phone:252-636-6222
Mailing Address - Fax:252-636-5385
Practice Address - Street 1:670 CARDINAL PLACE
Practice Address - Street 2:
Practice Address - City:NEW BERN
Practice Address - State:NC
Practice Address - Zip Code:28562-5201
Practice Address - Country:US
Practice Address - Phone:252-636-6222
Practice Address - Fax:252-636-5385
Is Sole Proprietor?:No
Enumeration Date:2006-06-01
Last Update Date:2011-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC200100536207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC130JTOtherNCBCBS
NC89130JTMedicaid
NC89130JTMedicaid
2297305CMedicare PIN
NC2297305BMedicare PIN
NCG37033Medicare UPIN