Individual
BRINDA THIMMAPPA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., M.B.A
Contact information
Practice address
1331 N ELM ST STE 100, GREENSBORO, NC 27401-6303
(336) 713-0200
(336) 713-0202
Mailing address
100 KIMEL FOREST DR, WINSTON SALEM, NC 27103-6074
(336) 716-0238
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
2014-00674
NC
2086S0122X
Plastic and Reconstructive Surgery Physician
MD60084893
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8546186
—
WA
Enumeration date
05/07/2007
Last updated
10/02/2024
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