Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 2007-01607 | NC |
Y | 207VG0400X | Gynecologist | 2007-01715 | NC |
NPI | 1174565444 |
---|---|
Provider Name | Oona Likhyani O'neill |
First Address | Winston Salem, NC 27102-0344 |
Second Address | Winston Salem, NC 27157-0001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/06/2006 |
Last Update Date | 08/12/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1174565444 | (05) | VA |
147RN | BCBS (01) | NC |
203923 | MEDCOST (01) | NC |
3810010644 | (05) | WV |
5908248 | (05) | NC |
7934807 | AETNA (01) | |
812001 | PARTNERS (01) | NC |
Q07009 | (05) | SC |