Khashana A Blake in Winston Salem - Family Medicine
Khashana A Blake - NPI 1356543490
Khashana A Blake is a Family Medicine in Winston Salem, North Carolina. Khashana A Blake practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Khashana A Blake is 1356543490. The last update date is 2019-10-15.
Khashana A Blake's current location address is 4692 Brownsboro Rd, Winston Salem, North Carolina. You can contact this provider via phone number 3362511114 and fax number 3362511117. The mailing address for Khashana A Blake is 4692 Brownsboro Rd, Winston Salem, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Khashana A Blake |
|---|---|
| Address | 4692 Brownsboro Rd, Winston Salem, North Carolina |
| Phone Number | 3362511114 |
| Fax Number | 3362511117 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1356543490 |
|---|---|
| Provider Enumeration Date | 2007-06-01 |
| Last Updated Date | 2019-10-15 |
Provider Mailing Address Detail
| Address | 4692 Brownsboro Rd |
|---|---|
| City | Winston Salem |
| State | North Carolina (NC) |
| Post Code | 271063410 |
| Phone Number | 3362511114 |
| Fax Number | 3362511117 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 2009-01511 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1537W | NC | BCBS | |
| 5912215 | NC | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Khashana A Blake by the Centers for Medicare & Medicaid Services?
The Khashana A Blake has been assigned the NPI (National Provider Identifier) 1356543490 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where Khashana A Blake's facilities are situated?
The facilities of Khashana A Blake are physically located at the following address: 4692 Brownsboro Rd, Winston Salem, NC, 271063410.
What is the Khashana A Blake's specialty and taxonomy code?
The Khashana A Blake's specialty is Family Medicine, and the corresponding taxonomy code is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1356543490 to Khashana A Blake?
The Centers for Medicare & Medicaid Services originally issued the 1356543490 to Khashana A Blake on 2007-06-01.
When was the information pertaining to Khashana A Blake most recently updated or revised?
The details related to Khashana A Blake, including its address, specialty, and other relevant information, were last updated or revised on 2019-10-15.