Provider Demographics
NPI:1013098946
Name:HORNE, ANUPAMA BETKERUR (MD)
Entity Type:Individual
Prefix:
First Name:ANUPAMA
Middle Name:BETKERUR
Last Name:HORNE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ANUPAMA
Other - Middle Name:VASANT
Other - Last Name:BETKERUR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:6104 FAYETTEVILLE RD
Mailing Address - Street 2:SUITE 108
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27713-6283
Mailing Address - Country:US
Mailing Address - Phone:919-572-0050
Mailing Address - Fax:919-572-9200
Practice Address - Street 1:6104 FAYETTEVILLE RD
Practice Address - Street 2:SUITE 108
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27713-6283
Practice Address - Country:US
Practice Address - Phone:919-572-0050
Practice Address - Fax:919-572-9200
Is Sole Proprietor?:No
Enumeration Date:2006-10-18
Last Update Date:2009-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2009-01149207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology