Provider Demographics
NPI:1366420069
Name:CLAUDIUS, ELIZABETH RENUKARANI (MD)
Entity type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:RENUKARANI
Last Name:CLAUDIUS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 843145
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02284-3145
Mailing Address - Country:US
Mailing Address - Phone:910-571-5510
Mailing Address - Fax:910-571-5772
Practice Address - Street 1:522 ALLEN ST
Practice Address - Street 2:SUITE 101
Practice Address - City:TROY
Practice Address - State:NC
Practice Address - Zip Code:27371-2861
Practice Address - Country:US
Practice Address - Phone:910-571-5570
Practice Address - Fax:910-571-5772
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9501201207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8922890Medicaid
NC8922890Medicaid
G23225Medicare UPIN