Individual
SHRADDHA JAI KHOKHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3402 BATTLEGROUND AVE, GREENSBORO, NC 27410-2578
(336) 883-0029
(336) 883-0867
Mailing address
645 N MAIN ST, HIGH POINT, NC 27260-5017
(336) 883-0029
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
5019413
NC
363L00000X
Nurse Practitioner
Primary
5019413
NC
363LF0000X
Family Nurse Practitioner
5019413
NC
Other
Enumeration date
01/03/2024
Last updated
07/19/2024
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