Individual
BERNARD R. CHINNASAMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
302 WESTWOOD AVE, HIGH POINT, NC 27262-4324
(336) 781-4080
(336) 781-4081
Mailing address
624 QUAKER LN, STE. 207C, HIGH POINT, NC 27262-3832
(336) 883-2500
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35863
NC
207RH0003X
Hematology & Oncology Physician
Primary
35863
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110122235
RRMC INDIVIDUAL #
NC
01
—
110122235
RR MEDICARE
—
05
—
8922357
—
NC
01
—
CC4242
RR GROUP
—
Enumeration date
07/19/2006
Last updated
10/04/2016
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