Provider Demographics
NPI:1699774000
Name:CUNNINGHAM, CALHOUN D III (MD)
Entity type:Individual
Prefix:DR
First Name:CALHOUN
Middle Name:D
Last Name:CUNNINGHAM
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3100 DURALEIGH RD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27612-8104
Mailing Address - Country:US
Mailing Address - Phone:919-876-4327
Mailing Address - Fax:919-876-6800
Practice Address - Street 1:3100 DURALEIGH RD
Practice Address - Street 2:SUITE 300
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27612-8104
Practice Address - Country:US
Practice Address - Phone:919-876-4327
Practice Address - Fax:919-876-6800
Is Sole Proprietor?:No
Enumeration Date:2005-07-18
Last Update Date:2011-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC200400479207YX0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YX0901XAllopathic & Osteopathic PhysiciansOtolaryngologyOtology & Neurotology
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCQ79004Medicaid
NCP00467250OtherRAILROAD MEDICARE
NC891368NMedicaid
SCQ79004Medicaid
NCP00467250OtherRAILROAD MEDICARE