Provider Demographics
NPI:1912134537
Name:TOTAL JOINT CARE PA
Entity Type:Organization
Organization Name:TOTAL JOINT CARE PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:MS
Authorized Official - First Name:SHOHREH
Authorized Official - Middle Name:
Authorized Official - Last Name:TAAVONI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:919-932-5700
Mailing Address - Street 1:721 MOUNT CARMEL CHURCH RD
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27517-8082
Mailing Address - Country:US
Mailing Address - Phone:919-277-0427
Mailing Address - Fax:919-933-6881
Practice Address - Street 1:570 NEW WAVERLY PL
Practice Address - Street 2:SUITE 130
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27518-7405
Practice Address - Country:US
Practice Address - Phone:919-277-0427
Practice Address - Fax:919-933-6881
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-22
Last Update Date:2009-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XS0114XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryAdult Reconstructive Orthopaedic SurgeryGroup - Single Specialty