Khemsara, Vickas
Khemsara, Vickas is an individual health care provider with primary practice located at 1710 South Hawthorne Rd Summit Eye Care, Winston Salem NC 27103-4016. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Khemsara, Vickas can be contacted via phone (336) 765-0960.Contact Information
Primary practice address
1710 South Hawthorne Rd Summit Eye Care
Winston Salem NC 27103-4016
Phone: (336) 765-0960
Fax: (336) 765-7453
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 01566 | North Carolina |
Profile Details
| NPI number | 1477557023 |
|---|---|
| LBN Legal business name | Khemsara, Vickas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 10th, 2005 |
| Last updated | Apr 6th, 2010 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477557023 | NPPES |
| Other | 10584171 | CAQH | |
| Other | 01566 | CAQH | |
| MEDICAID | 5910540 | CAQH |
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