Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0000X | Internist - Cardiovascular Disease | 058529 | GA |
Y | 207RI0011X | Interventional Cardiology | 2015-00816 | NC |
NPI | 1013194471 |
---|---|
Provider Name | Dr. Zahid Aziz Junagadhwalla |
First Address | Winston Salem, NC 27157-0001 |
Second Address | High Point, NC 27262-4342 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/01/2008 |
Last Update Date | 31/08/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1013194471 | (05) | NC |