Provider Demographics
NPI:1811998867
Name:AJMANI, AJAY K (MD)
Entity type:Individual
Prefix:
First Name:AJAY
Middle Name:K
Last Name:AJMANI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 2058
Mailing Address - Street 2:
Mailing Address - City:SANFORD
Mailing Address - State:NC
Mailing Address - Zip Code:27331-2058
Mailing Address - Country:US
Mailing Address - Phone:919-774-5911
Mailing Address - Fax:919-774-5957
Practice Address - Street 1:111 DENNIS DR
Practice Address - Street 2:SUITE 121
Practice Address - City:SANFORD
Practice Address - State:NC
Practice Address - Zip Code:27330-6343
Practice Address - Country:US
Practice Address - Phone:919-774-5911
Practice Address - Fax:919-774-5957
Is Sole Proprietor?:No
Enumeration Date:2005-08-02
Last Update Date:2025-01-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC35248207RR0500X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8910483Medicaid
NC2177890DMedicare PIN
NCE94295Medicare UPIN