Individual
KAMBIZ C SOHEILI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
190 KIMEL PARK DR, WINSTON SALEM, NC 27103-6946
(919) 336-7683
Mailing address
190 KIMEL PARK DR, WINSTON SALEM, NC 27103-6946
(919) 336-7683
Taxonomy
Speciality
Code
Description
License number
State
207RA0000X
Adolescent Medicine (Internal Medicine) Physician
01060026A
IN
207RA0000X
Adolescent Medicine (Internal Medicine) Physician
—
IL
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
—
NC
Other
Enumeration date
03/28/2006
Last updated
11/28/2007
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