Healthcare Provider Details
I. General information
NPI: 1497956205
Provider Name (Legal Business Name): NAYANA ABROL M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 05/30/2007
Last Update Date: 08/10/2021
Certification Date: 08/10/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
201 E WENDOVER AVE
GREENSBORO NC
27401-1205
US
IV. Provider business mailing address
5360 POINTE CT
WINSTON SALEM NC
27103-6460
US
V. Phone/Fax
- Phone: 336-832-4444
- Fax:
- Phone: 607-434-7915
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | 2008-01164 |
| License Number State | NC |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208M00000X |
| Taxonomy | Hospitalist Physician |
| License Number | 2008-01164 |
| License Number State | NC |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: