Individual
DR. THAVIJ DAVID BURAPAVONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
416 GATEWOOD AVE, HIGH POINT, NC 27262-4718
(336) 882-2531
(336) 884-8254
Mailing address
416 GATEWOOD AVE, HIGH POINT, NC 27262-4718
(336) 882-2531
(336) 884-8254
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07194
BLUE CROSS BLUE SHIELD
NC
01
—
1310041
UNITED HEALTHCARE
NC
01
—
5987957-001
CIGNA HEALTHCARE
NC
05
—
7901794
—
NC
Enumeration date
04/20/2006
Last updated
06/30/2011
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