Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 2011-01276 | NC |
Y | 208600000X | Surgeon | 2011-01276 | NC |
N | 208200000X | Surgeon | AS2383278-0706 | CT |
N | 208600000X | Surgeon | AS2383278-0706 | CT |
NPI | 1003042409 |
---|---|
Provider Name | Nikhil Teppara |
First Address | High Point, NC 27262-7008 |
Second Address | High Point, NC 27262-7369 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/06/2009 |
Last Update Date | 22/11/2011 |