IndividualActive
Abhay Komandur, PA
NPI 1407671548 · Physician Assistant · Raleigh, NC
Provider details
- NPI number
- 1407671548
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Male
- Sole proprietor
- No
- License
- 0010-14886 (NC)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
3400 Wake Forest Rd
Raleigh, NC 27609-7317
Phone: (910) 495-3177
Approximate (ZIP-level) locationGet directions
Mailing address
102 Columbia Place Dr
Chapel Hill, NC 27516-2165
Registry dates
- Enumerated
- 2024-11-21
- Last updated
- 2025-09-29
- Certified
- 2025-09-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.