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NPI Code Detail

MEDICARE: DR. ANITHA LOKESH M.D.

MEDICARE: DR. ANITHA LOKESH M.D.
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
1207Q00000XFamily Medicine Physician0101224961NC
2208000000XPediatrics Physician200301140NC
3207Q00000XFamily Medicine Physician200301140NC

General Provider Information

NPI Number : 1861487860
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANITHA LOKESH M.D.
Provider Business Mailing Address
First Line : PO BOX 751803
Second Line :
City : CHARLOTTE
State : NC
Zip : 28275-1803
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 50 MILLER ST STE G
Second Line :
City : WINSTON SALEM
State : NC
Zip : 27104-4206
Country : US
Telephone Number : 336-718-1000
Fax Number : 336-718-1065
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/15/2005
Last Update Date : 03/11/2024

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Directions to “ DR. ANITHA LOKESH M.D.” Practice Location

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