Gendrachi, Thomas Ernest

Gendrachi, Thomas Ernest is an individual health care provider with primary practice located at 145 Kimel Park Dr Ste 120 , Winston Salem NC 27103-6983. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Gendrachi, Thomas Ernest can be contacted via phone (336) 768-3212.

Contact Information

Primary practice address

145 Kimel Park Dr Ste 120 Winston Salem NC 27103-6983

Phone: (336) 768-3212

Fax:

Website:

Map and Directions

Health care specialties

Specialty	Code	License #	State
Allopathic & Osteopathic Physicians / Anesthesiology	207L00000X	040459	Connecticut

Profile Details

NPI number	1073596516
LBN Legal business name	Gendrachi, Thomas Ernest
Credentials	Doctor of Medicine (MD)
Entity	Individual
Sole proprietor ¹	No
Enumeration date	Nov 29th, 2005
Last updated	Mar 1st, 2019 - about 5 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.

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Identifiers

State	Type	Number	Issuer
All States	NPI	1073596516	NPPES
Connecticut	MEDICAID	001404590

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