Individual
TILAK RAJ BABA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
195 KIMEL PARK DR STE 200, WINSTON SALEM, NC 27103-6967
(336) 768-6211
(336) 768-6869
Mailing address
195 KIMEL PARK DR STE 200, WINSTON SALEM, NC 27103-6967
(336) 768-6211
(336) 768-6869
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
202203303
NC
208M00000X
Hospitalist Physician
D0081092
MD
208M00000X
Hospitalist Physician
MD044449
DC
Other
Enumeration date
04/04/2013
Last updated
08/07/2024
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