WALID ELTARABOULSI


Address: 16817 Marvin Road, Charlotte, NC 28277
Phone: 7044956036

WALID ELTARABOULSI (NPI# 1245491083) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1245491083
Entity Type Individual
Full Name WALID ELTARABOULSI
Credential MD
Practice Address 16817 Marvin Road
Charlotte
NC 28277
Mailing Address 5950 Fairview Rd Ste 330
Charlotte
NC 28210-2108
Practice Telephone 7044956036
Mailing Telephone 7044956334
Mailing Fax Number 7048177219
Enumeration Date 2008-06-24
Last Update Date 2018-10-12
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207RC0200X Internal Medicine
Specialization: Critical Care Medicine
2011-01032 NC Allopathic & Osteopathic Physicians
Y 207RP1001X Internal Medicine
Specialization: Pulmonary Disease
2011-01032 NC Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Other Provider Identifier

State Issuer Identifier Type Code
NC NC LICENSE 2011-01032 01
SC NC2170 05
NC 1245491083 05

Office Location

Street Address 16817 MARVIN ROAD
City CHARLOTTE
State NC
Zip Code 28277

Providers in the same location

NPI Name Taxonomy Address Enumeration
1083697908 Allen P Tauro Internal Medicine 16817 Marvin Road, Charlotte, NC 28277 2005-11-23
1700359403 Tryon Endoscopy Center, LLC Clinic/Center 16817 Marvin Road, Charlotte, NC 28277-2196 2019-01-04
1588955439 Maya Dagher Fetter Internal Medicine 16817 Marvin Road, Charlotte, NC 28277 2011-04-27
1497052377 Natasha Dumra Internal Medicine 16817 Marvin Road, Charlotte, NC 28277 2011-02-11
1760708853 Adam Ligler Internal Medicine 16817 Marvin Road, Charlotte, NC 28277 2010-04-14
1992927305 April Atkins Boswell Dermatology 16817 Marvin Road, Charlotte, NC 28277 2007-05-03
1710064985 Kerry Patterson Briones Internal Medicine 16817 Marvin Road, Charlotte, NC 28277 2006-11-01
1043314461 Maureen Rafferty Internal Medicine 16817 Marvin Road, Charlotte, NC 28277 2006-09-08
1679682181 Richard F. Miller Internal Medicine 16817 Marvin Road, Charlotte, NC 28277 2006-08-29
1073528808 Luis Arturo Bendezu Family Medicine 16817 Marvin Road, Charlotte, NC 28210 2006-07-30
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1255949731 New Life Peer Support and Coaching LLC Clinic/Center 3450 Toringdon Way, Suite 200, Charlotte, NC 28277 2020-07-21
1083256762 Speak Life Counseling Services, Pllc Counselor 16147 Lacaster Hwy, Suite 110, Charlotte, NC 28277 2019-10-14
1275010019 Jigneshkumar R Mistry Pharmacist 11805 Allforth Ln Apt 2105, Charlotte, NC 28277 2018-07-24
1255825410 Novant Medical Group Inc. Family Medicine 15033 Balloncroft Parkway, Suite 200, Charlotte, NC 28277 2018-06-20
1447752316 Harris Teeter LLC Durable Medical Equipment & Medical Supplies 11135 Golf Links Dr, Charlotte, NC 28277 2018-03-06
1932607595 Charlotte Proactive Md PC Clinic/Center 11220 Golf Links Drive North, Charlotte, NC 28277 2018-01-30
1003331521 Accela Spine and Pain, Pllc Anesthesiology 10120 Ivey Chase Lane, Apt 617, Charlotte, NC 28277 2017-08-04
1265961619 Dominicka Whitaker Counselor 12365 Bluestem Ln., Charlotte, NC 28277 2017-06-08
1083143408 Monika D Hayes Counselor 11330 Snapfinger Drive, Charlotte, NC 28277 2017-06-08
1225582984 Danielle Mcdaniel Occupational Therapist 5113 Piper Station Dr Ste 103, Charlotte, NC 28277 2016-08-11
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Taxonomy Information

Taxonomy Code 207RP1001X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Pulmonary Disease

Taxonomy Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1962953877 Novant Medical Group, Inc Internal Medicine 9550 Rocky River Rd Ste 100, Charlotte, NC 28215 2016-10-17
1740200047 James B Jones Internal Medicine 6060 Piedmont Row Dr S Fl 10, Charlotte, NC 28287 2006-07-20
1962470666 Estrelita Nancy Clavio-ziechmann Internal Medicine 10036 Park Cedar Dr, Suite A, Charlotte, NC 28210-8914 2006-03-09
1780974816 Sailaja Allamneni Internal Medicine 1001 Blythe Blvd, Charlotte, NC 28203-5866 2011-04-11
1669779583 Anil Jotwani Internal Medicine 1350 S Kings Dr, Charlotte, NC 28207-2134 2011-02-14
1649590324 Joshua Davis Internal Medicine 1350 S Kings Dr, Charlotte, NC 28207-2134 2010-06-04
1619293701 John Wynne Internal Medicine 1001 Blythe Blvd, Charlotte, NC 28203-5866 2010-04-14
1083843304 Muhammad Rashad Internal Medicine 1001 Blythe Blvd, Charlotte, NC 28203-5866 2009-07-08
1962658856 Alfred Papali Internal Medicine 10650 Park Rd, Ste 300, Charlotte, NC 28210-8538 2008-08-12
1235390691 Joshua Smith Internal Medicine 1001 Blythe Blvd, Charlotte, NC 28203-5866 2008-06-18
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Competitor

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City CHARLOTTE
Zip Code 28277

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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