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Individual

DR. TWINKLE KUMAR SAMUDRA PANDIAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255
(336) 716-3202
Mailing address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255
(336) 716-3202

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
2019026857
MO
208600000X
Surgery Physician
Primary
2024-02015
NC
2086X0206X
Surgical Oncology Physician
2019026857
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200077095
MO
Enumeration date
06/24/2011
Last updated
09/09/2024
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