Provider Demographics
NPI:1225003353
Name:BAZEL, SOHAIL (MD)
Entity Type:Individual
Prefix:DR
First Name:SOHAIL
Middle Name:
Last Name:BAZEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:645 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27260-5017
Mailing Address - Country:US
Mailing Address - Phone:336-967-0846
Mailing Address - Fax:336-899-2176
Practice Address - Street 1:507 N LINDSAY ST
Practice Address - Street 2:
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27262-4303
Practice Address - Country:US
Practice Address - Phone:336-883-0029
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-02-22
Last Update Date:2022-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9601768207R00000X, 208VP0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC110209501OtherRAILROAD NUMBER
NC1046GOtherBCBS
NC0408170OtherUNITED HEALTHCARE NUMBER
NC891046GMedicaid
NC17492OtherPARTNERS MEDICARE CHOICE
NC4492816OtherAETNA - NON HMO NUMBER
NC8418827OtherCIGNA HEALTHCARE NUMBER
NCC1032OtherMEDCOST NUMBER
NC289884OtherMAMSI NUMBER
NCNC3726A569Medicare PIN