Provider Demographics
NPI:1730198920
Name:POWER, ABHIJIT BHASKAR (MD)
Entity type:Individual
Prefix:DR
First Name:ABHIJIT
Middle Name:BHASKAR
Last Name:POWER
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 1:124 BRITTMOORE CT
Mailing Address - Street 2:
Mailing Address - City:GARNER
Mailing Address - State:NC
Mailing Address - Zip Code:27529-7153
Mailing Address - Country:US
Mailing Address - Phone:919-772-5639
Mailing Address - Fax:
Practice Address - Street 1:124 BRITTMOORE CT
Practice Address - Street 2:
Practice Address - City:GARNER
Practice Address - State:NC
Practice Address - Zip Code:27529-7153
Practice Address - Country:US
Practice Address - Phone:919-772-5639
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-05
Last Update Date:2024-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9801449207R00000X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8911845Medicaid
NC8911845Medicaid
G84049Medicare UPIN