Individual provider · Type 1 NPI

Adesuwa Tracy Egharevba, MD

Student in an Organized Health Care Education/Training Program · Raleigh, NC

NPI number 1306192836 Active

Practice location

4312 District Dr
Raleigh, NC 27699-7708

Mailing address

390 17th St NW, Unit 5008
Atlanta, GA 30363

Other practice locations

  • 5201 Harry Hines Blvd, Graduate Medical Education, Dallas, TX 75235-7708 · (214) 590-8058

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1306192836

Adesuwa Tracy Egharevba, MD's National Provider Identifier is 1306192836, issued on Aug 2, 2012. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Raleigh, NC. The record was last updated on Mar 17, 2018.