Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 036122805 | IL |
N | 111NI0900X | Internist | 036122805 | IL |
N | 207R00000X | Internist | 4301101822 | MI |
N | 111NI0900X | Internist | 4301101822 | MI |
N | 207RH0000X | Hematologist | 4301101822 | MI |
Y | 207RH0003X | Hematology & Oncology | 2016-01908 | NC |
N | 207RH0003X | Hematology & Oncology | MD-41860 | IA |
N | 207RX0202X | Medical Oncology | 4301101822 | MI |
NPI | 1134341993 |
---|---|
Provider Name | Rupali Roy Bhave |
First Address | Winston Salem, NC 27157-0001 |
Second Address | Winston Salem, NC 27157-0001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/05/2007 |
Last Update Date | 14/10/2016 |