Renaldo, Gary T
Renaldo, Gary T is an individual health care provider with primary practice located at 186 Kimel Park Dr , Winston Salem NC 27103-6946. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Interventional Cardiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Renaldo, Gary T can be contacted via phone (336) 277-2000.Contact Information
Primary practice address
186 Kimel Park Dr
Winston Salem NC 27103-6946
Phone: (336) 277-2000
Fax: (336) 277-2050
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 33559 | North Carolina |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 33559 | North Carolina |
Profile Details
| NPI number | 1932168663 |
|---|---|
| LBN Legal business name | Renaldo, Gary T |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 21st, 2006 |
| Last updated | Mar 7th, 2023 - about last year |
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 | 1932168663 | NPPES |
| North Carolina | Other | 1285682310 | WSCA GRP NPI # |
| North Carolina | Other | 757 | WSCA GRP NPI # |
| North Carolina | Other | 71244 | WSCA GRP NPI # |
| North Carolina | MEDICAID | 1932168663 | WSCA GRP NPI # |
| North Carolina | MEDICAID | 8971244 | WSCA GRP NPI # |
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