Individual
RUPALI ROY BHAVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2011
Mailing address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2011
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036122805
IL
207R00000X
Internal Medicine Physician
4301101822
MI
207RH0000X
Hematology (Internal Medicine) Physician
4301101822
MI
207RH0003X
Hematology & Oncology Physician
Primary
2016-01908
NC
207RH0003X
Hematology & Oncology Physician
MD-41860
IA
207RX0202X
Medical Oncology Physician
4301101822
MI
Other
Enumeration date
05/02/2007
Last updated
10/14/2016
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