Badlani, Gopal H
Badlani, Gopal H is an individual health care provider with primary practice located at 140 Charlois Blvd , Winston Salem NC 27103-1522. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Badlani, Gopal H can be contacted via phone (336) 716-2255.Contact Information
Primary practice address
140 Charlois Blvd
Winston Salem NC 27103-1522
Phone: (336) 716-2255
Fax: (336) 716-9042
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 2007-01445 | North Carolina |
Profile Details
| NPI number | 1811930365 |
|---|---|
| LBN Legal business name | Badlani, Gopal H |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 13th, 2006 |
| Last updated | Oct 22nd, 2010 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811930365 | NPPES |
| Virginia | MEDICAID | 1811930365 | |
| Virginia | MEDICAID | 3810008381 | |
| Virginia | Other | 144KE | |
| Virginia | MEDICAID | 5906119 | |
| Virginia | Other | 809209 | |
| Virginia | MEDICAID | Q0006C | |
| Virginia | Other | 4277424 | |
| Virginia | Other | 195111 |
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