Individual
DINA ADEL BASTAWROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
770 HIGHLAND OAKS DR STE 100, WINSTON SALEM, NC 27103-7105
(336) 718-1970
(336) 774-8601
Mailing address
PO BOX 604136, CHARLOTTE, NC 28260-4136
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
2016-00256
NC
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
2016-00256
NC
Other
Enumeration date
03/30/2012
Last updated
12/16/2025
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