Provider Demographics
NPI:1205155801
Name:CABRAL INTERNAL MEDICINE PLLC
Entity type:Organization
Organization Name:CABRAL INTERNAL MEDICINE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT, MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:ISMAEL
Authorized Official - Last Name:CABRAL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:828-855-3636
Mailing Address - Street 1:3521 GRAYSTONE PL SE
Mailing Address - Street 2:SUITE 109
Mailing Address - City:CONOVER
Mailing Address - State:NC
Mailing Address - Zip Code:28613-8201
Mailing Address - Country:US
Mailing Address - Phone:828-855-3636
Mailing Address - Fax:828-855-3638
Practice Address - Street 1:3521 GRAYSTONE PL SE
Practice Address - Street 2:SUITE 109
Practice Address - City:CONOVER
Practice Address - State:NC
Practice Address - Zip Code:28613-8201
Practice Address - Country:US
Practice Address - Phone:828-855-3636
Practice Address - Fax:828-855-3638
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-20
Last Update Date:2010-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2008-00007207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty