NPI 1386825131 · live from the CMS NPI Registry
Tania Mimi Acevedo, M.D.
Internal Medicine in Statesville, NC. National Provider Identifier 1386825131, active.
NPI record
| NPI | 1386825131 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine 207R00000X |
| Practice location | 1818 Davie Ave, Statesville, NC 28677 |
| Practice phone | 704-873-1036 |
| Mailing address | Po Box 1845, Statesville, NC 28687 |
| Enumerated | November 21, 2007 |
| Last updated | September 21, 2018 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine | 207R00000X | 2011007275 (MO) |
| Hospitalist | 208M00000X | 2011007275 (MO) |
| Internal Medicine primary | 207R00000X | 2015-00788 (NC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.