Healthcare Provider Details

I. General information

NPI: 1477685816
Provider Name (Legal Business Name): SUKHBIR SINGH GURAM M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/12/2007
Last Update Date: 03/22/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21 TURTLE CREEK DR
ASHEVILLE NC
28803-3152
US

IV. Provider business mailing address

500 EASTOWNE DR
CHAPEL HILL NC
27514-2244
US

V. Phone/Fax

Practice location:
  • Phone: 828-274-4555
  • Fax: 828-274-8348
Mailing address:
  • Phone: 828-694-8385
  • Fax: 828-694-7654

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberLL 37903
License Number StateSC
# 2
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number242555
License Number StateMA
# 3
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number263461
License Number StateNY
# 4
Primary TaxonomyN
Taxonomy Code207XS0117X
TaxonomyOrthopaedic Surgery of the Spine Physician
License Number4301102211
License Number StateMI
# 5
Primary TaxonomyN
Taxonomy Code207XS0117X
TaxonomyOrthopaedic Surgery of the Spine Physician
License Number263461
License Number StateNY
# 6
Primary TaxonomyY
Taxonomy Code207XS0117X
TaxonomyOrthopaedic Surgery of the Spine Physician
License Number2016-02576
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: