Individual
GOPAL H BADLANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
140 CHARLOIS BLVD, WINSTON SALEM, NC 27103-1522
(336) 716-2255
(336) 716-9042
Mailing address
PO BOX 344, WINSTON SALEM, NC 27102-0344
(336) 716-2255
(336) 716-9042
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
2007-01445
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
144KE
BCBS
—
05
—
1811930365
—
VA
01
—
195111
MEDCOST
—
05
—
3810008381
—
WV
01
—
4277424
AETNA
—
05
—
5906119
—
NC
01
—
809209
PARTNERS
—
05
—
Q0006C
—
SC
Enumeration date
06/13/2006
Last updated
10/22/2010
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