Individual provider · Type 1 NPI

Mina Entessari, MD

Student in an Organized Health Care Education/Training Program · Winston Salem, NC

NPI number 1558066829 Active

Practice location

131 Miller St
Winston Salem, NC 27103-2508

Call (336) 716-8092 Map

Fax (336) 716-8018

Mailing address

Medical Center Boulevard
Winston Salem, NC 27157-0001

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1558066829

Mina Entessari, MD's National Provider Identifier is 1558066829, issued on Apr 4, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Winston Salem, NC. The record was last updated on Apr 4, 2023.