Provider Demographics
NPI:1457585382
Name:PEDRAZA, JAIME (MD)
Entity type:Individual
Prefix:
First Name:JAIME
Middle Name:
Last Name:PEDRAZA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:7750 MCCRIMMON PKWY STE 100
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27519-1912
Mailing Address - Country:US
Mailing Address - Phone:919-234-1577
Mailing Address - Fax:888-355-8929
Practice Address - Street 1:7750 MCCRIMMON PKWY STE 100
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27519-1912
Practice Address - Country:US
Practice Address - Phone:919-234-1577
Practice Address - Fax:888-355-8929
Is Sole Proprietor?:No
Enumeration Date:2009-05-06
Last Update Date:2025-08-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC201301532207Q00000X
NC2013-05132207QS0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QS0010XAllopathic & Osteopathic PhysiciansFamily MedicineSports Medicine
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine