Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Imran Quyyum

Individual provider Nephrology Physician · NPI 1942576863

Imran Quyyum is a Nephrology in Raleigh, North Carolina. Qualified in 2011, 15 years ago. Practices with Wakemed Specialists Group LLC, a 869-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
15
Licensed in
NC
In the registry since
2012
Specialties on file
2
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Practice location Address checks out

3000 New Bern Ave
Raleigh, NC 27610-1231
Phone: (919) 350-8000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2700 Wayne Memorial Drive, Goldsboro, NC 27534 — (252) 243-2268
  • 234 E 149th St, Bronx, NY 10451-5504 — (718) 579-5016

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 2016-01828 (NC)
Nephrology Physician Taxonomy 207RN0300X · Licence 2016-01828 (NC)

Record details

NPI number1942576863
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 25, 2012
Last updated in NPPESMarch 31, 2021
Certification dateMarch 31, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNEPHROLOGY
Also practisesINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Wakemed Specialists Group Llc — 869 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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