Provider Demographics
NPI:1750609582
Name:PASAM, AVINASH (MD)
Entity type:Individual
Prefix:
First Name:AVINASH
Middle Name:
Last Name:PASAM
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1638 OWEN DR
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28304-3424
Mailing Address - Country:US
Mailing Address - Phone:910-615-3840
Mailing Address - Fax:910-321-6216
Practice Address - Street 1:6387 RAMSEY ST UNIT 140
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28311-9442
Practice Address - Country:US
Practice Address - Phone:910-615-3840
Practice Address - Fax:910-321-6216
Is Sole Proprietor?:No
Enumeration Date:2010-05-04
Last Update Date:2024-06-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC2021-03294207RX0202X, 207RH0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
No207RH0000XAllopathic & Osteopathic PhysiciansInternal MedicineHematology