Provider Demographics
NPI:1265425375
Name:ATREE, SUSHEEL V (MD)
Entity type:Individual
Prefix:DR
First Name:SUSHEEL
Middle Name:V
Last Name:ATREE
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 1:10000 FALLS OF NEUSE RD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27614-7838
Mailing Address - Country:US
Mailing Address - Phone:919-848-6946
Mailing Address - Fax:918-848-4899
Practice Address - Street 1:10000 FALLS OF NEUSE RD
Practice Address - Street 2:SUITE 201
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27614-7838
Practice Address - Country:US
Practice Address - Phone:919-848-6946
Practice Address - Fax:918-848-4899
Is Sole Proprietor?:No
Enumeration Date:2005-08-24
Last Update Date:2010-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2000-00708174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2280948AMedicare ID - Type UnspecifiedGROUP# 2339508
NCH20884Medicare UPIN