Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. TIDA KUMBALASIRI LEE, M.D., PH.D.
ActiveDR. TIDA KUMBALASIRI LEE, M.D., PH.D. is a Infectious Disease healthcare provider located in JACKSONVILLE, North Carolina. NPI 1619105517 is currently active in the NPPES registry. Verify at CMS.
Infectious Disease · JACKSONVILLE, NC
Registration Details
- NPI Number
- 1619105517
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 30, 2009 (17.162737246877 yrs)
- Last Updated
- Dec 7, 2022
- Licenses
-
0101248380 (VA)2022-02736 (NC)
Practice Information
- Address
-
1000 BRABHAM AVEJACKSONVILLE, NC, 285465003Browse NC providers · Browse ZIP 28546
- Phone
- 9109372570
- Fax
- 9102191270
- Primary Specialty
-
Infectious Disease
207RI0200X
- Additional Specialty
- Infectious Disease
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.