Individual
DR. RITA NANIK BAKHRU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255
Mailing address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301087853
MI
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
197836
NC
207RP1001X
Pulmonary Disease Physician
197836
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1750408126
TRICARE
NC
01
—
1750408126
VIRGINIA MEDICAID
VA
05
—
1750408126
—
NC
01
—
18451
BCBS
NC
01
—
276211
MEDCOST
NC
01
—
3056183
UHC
NC
01
—
9095364
AETNA
NC
01
—
P01321210
RAILROAD MEDICARE
NC
01
—
Q02429
SC MEDICAID
SC
Enumeration date
03/23/2007
Last updated
04/21/2015
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