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Axon Medical Group PC — NPI 1164397253, Raleigh, NC | NPI Central

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NPI 1164397253

OrganizationActive

Axon Medical Group PC

NPI 1164397253 · Neurology Physician · Raleigh, NC

Provider details

NPI number: 1164397253
Entity type: Organization
Primary specialty: Neurology PhysicianAllopathic & Osteopathic Physicians
Parent organization: Axon Medical Group PC
Organization subpart: Yes
Authorized official: Sumul Modi, Owner(919) 275-0785

Specialties & taxonomies

Neurology PhysicianPrimary2084N0400X
Allopathic & Osteopathic Physicians

Practice location

3824 Barrett Dr Ste 101

Raleigh, NC 27609-7220

Phone: (919) 275-0785

Approximate (ZIP-level) locationGet directions

More NC providers

Mailing address

3824 Barrett Dr Ste 101

Raleigh, NC 27609-7220

Other names (DBA / former)

Doing business as: Aura Ai Headache Clinic

Registry dates

Enumerated: 2025-10-08
Last updated: 2025-10-08
Certified: 2025-10-08

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.