Individual
RAJESHREE TULLOO DIMKPA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
310 STATESVILLE BLVD, SALISBURY, NC 28144-2316
(704) 637-1888
(704) 637-1880
Mailing address
PO BOX 1385, AHOSKIE, NC 27910-1385
(252) 209-8161
(252) 209-6011
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
200501345
NC
2084P0805X
Geriatric Psychiatry Physician
2005-01345
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
140F8
BCBS OF NC
NC
01
—
182478
MEDCOST
NC
05
—
5901639
—
NC
Enumeration date
03/14/2006
Last updated
11/30/2009
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