Provider Demographics
NPI:1265581326
Name:KEATING, JANET HADER (MD)
Entity type:Individual
Prefix:DR
First Name:JANET
Middle Name:HADER
Last Name:KEATING
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:JANET
Other - Middle Name:LESLIE
Other - Last Name:HADER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1600 EAST C STREET
Mailing Address - Street 2:MURDOCH CENTER
Mailing Address - City:BUTNER
Mailing Address - State:NC
Mailing Address - Zip Code:27509-2530
Mailing Address - Country:US
Mailing Address - Phone:919-575-1940
Mailing Address - Fax:
Practice Address - Street 1:1600 EAST C STREET
Practice Address - Street 2:MURDOCH CENTER
Practice Address - City:BUTNER
Practice Address - State:NC
Practice Address - Zip Code:27509-2530
Practice Address - Country:US
Practice Address - Phone:919-575-1940
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-09
Last Update Date:2019-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC33370207Q00000X
FLME123295207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC33370OtherLICENSE
E42916Medicare UPIN