Basic Information
Provider Information
NPI: 1700292786
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: DARAPU
FirstName: HIMA
MiddleName: BINDU
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: KIRKLIN CLINIC, 4TH FLOOR 2000 6TH AVENUE SOUTH
Address2:  
City: BIRMINGHAM
State: AL
PostalCode: 35233
CountryCode: US
TelephoneNumber: 2059963636
FaxNumber:  
Practice Location
Address1: 4610 COUNTRY CLUB RD
Address2:  
City: WINSTON SALEM
State: NC
PostalCode: 271043520
CountryCode: US
TelephoneNumber: 3367162255
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/10/2014
LastUpdateDate: 11/18/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 11/18/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RE0101X36164ALN Allopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
207RE0101X2020-02787NCY Allopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism

No ID Information.


Home