Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208100000X | Physical Medicine & Rehabilitation Doctor | 0101255910 | VA |
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 2016-00737 | NC |
N | 208100000X | Physical Medicine & Rehabilitation Doctor | MD043009 | DC |
N | 2081P2900X | Pain Medicine | MD043009 | DC |
NPI | 1366685497 |
---|---|
Provider Name | Gaurav Telhan |
First Address | Chapel Hill, NC 27517-4412 |
Second Address | Chapel Hill, NC 27517-4412 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/04/2009 |
Last Update Date | 03/10/2016 |