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NPI Code Detail

MEDICARE: DR. RUPESH KHANAL MD

MEDICARE:  DR. RUPESH  KHANAL  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RN0300XNephrology Physician291043NY
2207RN0300XNephrology Physician4301119269MI
3208M00000XHospitalist Physician2022-02842NC

General Provider Information

NPI Number : 1578979803
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RUPESH KHANAL MD
Provider Business Mailing Address
First Line : MEDICAL CENTER BLVD
Second Line :
City : WINSTON SALEM
State : NC
Zip : 27157-0001
Country : US
Telephone Number : 336-716-9252
Fax Number : 336-716-0030
Provider Business Practice Location Address
First Line : MEDICAL CENTER BLVD
Second Line :
City : WINSTON SALEM
State : NC
Zip : 27157-1122
Country : US
Telephone Number : 336-716-9252
Fax Number : 336-716-0030
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/08/2014
Last Update Date : 11/06/2024

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Directions to “ DR. RUPESH KHANAL MD” Practice Location

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