Organization Name: | CHIRAPA SINTHUSEK, PA |
NPI Number: | 1033162557 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CHIRAPA SINTHUSEK (OWNER) |
Mailing Address: | 730 Highland Oaks Dr Suite 101 Winston-salem |
State: | NC US |
Postal Code: | 271037108 |
Phone Number: | 3367656897 |
Fax Number: | 3367657306 |
NPI Enumeration Date: | 05/18/2006 |
NPI Last Update Date: | 10/13/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QM1300X |
License Number: | 18717 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Multi-Specialty |
Taxonomy Definition: |