Active NPIIndividual provider

Dr. Camille N Immanuel, MD MHS

Pediatrics, Pediatric Critical Care Medicine in Durham, North Carolina

NPI Number1295021483
Practice location
4100 Cobscook Dr, Durham, NC 27707-5706
Fax
276-451-4700
Last updated
February 1, 2018

Camille Nina Immanuel is a Pediatrics, Pediatric Critical Care Medicine based in Durham, NC. Camille Nina Immanuel practices in Durham, NC and has the professional credentials of MD MHS. The NPI Number for Camille Nina Immanuel is 1295021483 and holds a License No. 39 (NJ). The current practice location address for Camille Nina Immanuel is 4100 Cobscook Dr, Durham, NC 27707-5706 and can be reached out via phone at 276-451-4700 and via fax at 276-451-4700.

Provider Profile Details

NPI Number
1295021483
Provider Name
Camille Nina Immanuel
Credential
MD MHS
Provider Entity Type
Individual
Gender
Female
Address
4100 Cobscook Dr, Durham, NC 27707-5706
Phone Number
276-451-4700
Fax Number
276-451-4700
Primary Taxonomy
Pediatrics, Pediatric Critical Care Medicine · 2080P0203X
Sole Proprietor
No
Provider Enumeration Date
June 26, 2011
Last Update Date
February 1, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
4100 Cobscook Dr
Durham, NC 27707-5706
City
Durham
Zip
27707-5706
Phone Number
276-451-4700
Fax Number
276-451-4700
Durham, NC 27707Get directions →

Provider Business Mailing Address Details

Address
42 Sycamore RD
Apt C
Clifton, NJ 07012-7330
City
Clifton
State
NJ
Zip
07012-7330
Phone Number
276-451-4700

License Information

License Number (1)
39
License State (1)
NJ
Taxonomy (1)
Pediatrics · 208000000X
License Number (2)
10549592-1205
License State (2)
UT
Taxonomy (2)
Pediatrics, Pediatric Critical Care Medicine · 2080P0203X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Camille N Immanuel, MD MHS?

The NPI number of Dr. Camille N Immanuel, MD MHS is 1295021483. It was assigned on June 26, 2011 and is currently active in the NPPES registry.

What is the specialty of Dr. Camille N Immanuel, MD MHS?

Dr. Camille N Immanuel, MD MHS is registered under the primary taxonomy Pediatrics, Pediatric Critical Care Medicine (code 2080P0203X), licensed in NJ under license number 39.

Where does Dr. Camille N Immanuel, MD MHS practice?

The practice location is 4100 Cobscook Dr, Durham, NC 27707-5706. The office can be reached at 276-451-4700 (phone) or 276-451-4700 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1295021483 directly on the NPPES registry website.

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