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NPI Code Detail

MEDICARE: PREECHA BHOTIWIHOK MD, PA

MEDICARE: PREECHA BHOTIWIHOK MD, PA
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
1207L00000XAnesthesiology Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
20178EOTHERNCBLUE CROSS BLUE SHIELD

General Provider Information

NPI Number : 1609832369
Entity Type Code : Organization
Provider Name (Legal Business Name) : PREECHA BHOTIWIHOK MD, PA
Provider Business Mailing Address
First Line : PO BOX 16068
Second Line :
City : HIGH POINT
State : NC
Zip : 27261-6068
Country : US
Telephone Number : 888-447-7220
Fax Number : 336-884-1643
Provider Business Practice Location Address
First Line : 100 AIRPORT RD
Second Line :
City : KINSTON
State : NC
Zip : 28501-1604
Country : US
Telephone Number : 800-277-8151
Fax Number : 336-841-6217
Authorized Official
Title or Position : PRESIDENT
Name : PREECHA BHOTIWIHOK
Credential : MD
Telephone Number : 800-277-8151
Provider Enumeration Date : 04/21/2006
Last Update Date : 07/24/2007

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