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Contact Information

MICHAEL OLIPHANT, MD
MEDICAL CENTER BLVD
WINSTON-SALEM, NC27157-0001
 Phone: 336-716-2255
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Body Imaging

2085B0100X
 

Diagnostic Ultrasound

2085U0001X
 

Vascular & Interventional Radiology

2085R0204X 94 Physician/Interventional Radiology
Indicates primary specialty

NPI Profile & details for MICHAEL OLIPHANT · (Male)

NPI Number 1639157001
Status Active
Credentials MD
Entity Individual
Enumeration date 01/05/2006
Last updated 10/08/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • NC License # 19526
  • NC Medicaid 89130K6
  • SC Medicaid Q19526
  • VA Medicaid 7248164
  • WV Medicaid 2005653000
  • Other 7816329 AETNA
  • NC Other 130K6 BCBS
  • NC Other B3170 MEDCOST
  • NC Other 46205 PARTNERS
Hospital affiliation(s)
  • DAVIE MEDICAL CENTER - (Acute Care)
    223 HOSPITAL STREET
    MOCKSVILLE, NC 27028
  • NORTH CAROLINA BAPTIST HOSPITAL - (Acute Care)
    MEDICAL CENTER BOULEVARD
    WINSTON-SALEM, NC 27157
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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