Individual
DR. SANDYA THIMMAPPA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1317 N ELM ST, SUITE 4, GREENSBORO, NC 27401
(336) 378-1442
(336) 378-1970
Mailing address
1317 N ELM ST, SUITE 4, GREENSBORO, NC 27401-1033
(336) 378-1442
(336) 378-1970
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
200200614
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
132F9
BLUE CROSS BLUE SHIELD
NC
01
—
2135314
UNITED HEALTHCARE OF NC
NC
01
—
25448
OPTICARE
NC
05
—
89132F9
—
NC
Enumeration date
05/17/2006
Last updated
07/31/2018
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