Individual
BALICHAND PERMASHWAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1638 OWEN DR, FAYETTEVILLE, NC 28304-3424
(910) 615-5610
Mailing address
2600 N ELM ST, LUMBERTON, NC 28358-3011
(910) 272-3051
(910) 738-3764
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2005-00657
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
139TX
BCBS OF NC
NC
05
—
5900991
—
NC
Enumeration date
08/02/2005
Last updated
03/24/2025
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