Provider Demographics
NPI:1679346944
Name:TRIANGLE SINUS CENTER PLLC
Entity type:Organization
Organization Name:TRIANGLE SINUS CENTER PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KASHIF
Authorized Official - Middle Name:
Authorized Official - Last Name:MAZHAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:919-766-8989
Mailing Address - Street 1:3906 WAKE FOREST RD
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27609-6867
Mailing Address - Country:US
Mailing Address - Phone:919-766-8989
Mailing Address - Fax:919-766-8896
Practice Address - Street 1:3906 WAKE FOREST RD
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27609-6867
Practice Address - Country:US
Practice Address - Phone:919-766-8989
Practice Address - Fax:919-766-8896
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-30
Last Update Date:2024-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Single Specialty