Organization
HIGHGATE CLINIC, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BAHMAN MALEKPOUR M.D. (PRESIDENT)
(919) 734-2222
Entity
Organization
Contact information
Practice address
2805 MCLAMB PL, GOLDSBORO, NC 27534-1647
(919) 734-2222
(919) 734-2229
Mailing address
PO BOX 1342, GOLDSBORO, NC 27533-1342
(919) 734-2222
(919) 734-2229
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
21359
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0184G
BCBSNC
NC
05
—
890184G
—
NC
Enumeration date
08/04/2006
Last updated
11/12/2012
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