Basic Information
| Provider Information | |||||||||
| NPI: | 1427357664 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | EHIELI | ||||||||
| FirstName: | ERIC | ||||||||
| MiddleName: | ISRAEL | ||||||||
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| Credential: | M.D | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 63362 | ||||||||
| Address2: | BOX 3094 | ||||||||
| City: | CHARLOTTE | ||||||||
| State: | NC | ||||||||
| PostalCode: | 282633362 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9196204700 | ||||||||
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| Practice Location | |||||||||
| Address1: | DEPT. OF ANESTHESIOLOGY, DUKE UNIVERSITY MEDICAL CENTER | ||||||||
| Address2: | BOX 3094 | ||||||||
| City: | DURHAM | ||||||||
| State: | NC | ||||||||
| PostalCode: | 277100001 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9196812924 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 03/25/2011 | ||||||||
| LastUpdateDate: | 11/29/2016 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207L00000X | 2016-00457 | NC | Y | Allopathic & Osteopathic Physicians | Anesthesiology |
No ID Information.