Individual
DIBAS KOIRALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
3800 ROBERT PORCHER WAY, SUITE 200, GREENSBORO, NC 27410-2557
(336) 282-0376
(336) 282-0376
Mailing address
PO BOX 14883, GREENSBORO, NC 27415-4883
(336) 274-6515
(336) 275-0812
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2009-01302
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
154NC
BCBS OF NC
NC
01
—
5196035
CIGNA
NC
05
—
5913191
—
NC
01
—
9378613
AETNA
NC
Enumeration date
07/21/2009
Last updated
04/13/2021
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