Provider Demographics
NPI:1720613219
Name:DISEASE PREVENTION
Entity type:Organization
Organization Name:DISEASE PREVENTION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIETITIAN
Authorized Official - Prefix:
Authorized Official - First Name:APARNA
Authorized Official - Middle Name:R
Authorized Official - Last Name:VEERAMACHANENI
Authorized Official - Suffix:
Authorized Official - Credentials:RD
Authorized Official - Phone:919-345-0037
Mailing Address - Street 1:150 PRESTON EXECUTIVE DR STE 201-209
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27513-8485
Mailing Address - Country:US
Mailing Address - Phone:919-345-0037
Mailing Address - Fax:833-703-0206
Practice Address - Street 1:150 PRESTON EXECUTIVE DR STE 201-209
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27513-8485
Practice Address - Country:US
Practice Address - Phone:919-345-0037
Practice Address - Fax:833-703-0206
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-05
Last Update Date:2023-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1720613219OtherPRACTICE NPI
NC1770869497OtherINDIVIDUAL NPI