Provider Demographics
NPI:1225903040
Name:TRUMEDIQ NC
Entity type:Organization
Organization Name:TRUMEDIQ NC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:IZAZ
Authorized Official - Middle Name:DANISH
Authorized Official - Last Name:IQBAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-280-4844
Mailing Address - Street 1:207 W MILLBROOK RD STE 210-2037
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27609-4393
Mailing Address - Country:US
Mailing Address - Phone:800-954-4558
Mailing Address - Fax:800-954-4558
Practice Address - Street 1:207 W MILLBROOK RD STE 210-2037
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27609-4393
Practice Address - Country:US
Practice Address - Phone:800-954-4558
Practice Address - Fax:800-954-4558
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-09
Last Update Date:2025-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty