Provider Information for 1972945921
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KHALID TSALANI GREENAWAY
Sex: Male
NPI: 1972945921
Last Updated: 2013-07-18
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1972945921 | ||||||||
| Enumeration Date | 2013-07-18 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 1524 BALLARD CT KERNERSVILLE, NC 27284-7938 United States Phone: 336-253-5286 | Fax:336-282-6881 | ||||||||
| Primary Practice Address | 2309 W CONE BLVD STE 200 GREENSBORO, NC 27408-4047 United States Phone: 336-282-3445 | Fax:336-282-6881 | ||||||||
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