Pranikoff, Thomas

Pranikoff, Thomas is an individual health care provider with primary practice located at Medical Center Blvd , Winston Salem NC 27157-0001. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgical Critical Care, Allopathic & Osteopathic Physicians / Pediatric Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Surgical Critical Care is his primary health care specialty. Pranikoff, Thomas can be contacted via phone (336) 716-2255.

Contact Information

Primary practice address
Medical Center Blvd Winston Salem NC 27157-0001
Phone: (336) 716-2255
Fax: (336) 716-6637
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X 9701110 North Carolina
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X 9701110 North Carolina
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 9701110 North Carolina

Profile Details

NPI number 1144206749
LBN Legal business name Pranikoff, Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 16th, 2005
Last updated Nov 12th, 2010 - about 14 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

StateTypeNumberIssuer
All States NPI 1144206749 NPPES
South Carolina MEDICAID Q01110
South Carolina Other 5510597
South Carolina MEDICAID 891066M
South Carolina MEDICAID 2005048000
South Carolina MEDICAID 6724507
South Carolina Other 17510
South Carolina Other 74141
South Carolina Other 1066M
South Carolina Other 20051992

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