Basic Information
Provider Information
NPI: 1629450515
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BAROT
FirstName: HARSH
MiddleName: VINUBHAI
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: MEDICAL CENTER BLVD
Address2:  
City: WINSTON SALEM
State: NC
PostalCode: 271570001
CountryCode: US
TelephoneNumber: 3367162255
FaxNumber:  
Practice Location
Address1: MEDICAL CENTER BLVD
Address2:  
City: WINSTON SALEM
State: NC
PostalCode: 271573844
CountryCode: US
TelephoneNumber: 3367162255
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/26/2015
LastUpdateDate: 10/16/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
390200000X264484MAN Student, Health CareStudent in an Organized Health Care Education/Training Program 
208M00000X2018-01762NCY Allopathic & Osteopathic PhysiciansHospitalist 

No ID Information.


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