Provider Demographics
NPI:1578655668
Name:BAIJNATH, NALINI SHRIMATTIE (MD)
Entity Type:Individual
Prefix:DR
First Name:NALINI
Middle Name:SHRIMATTIE
Last Name:BAIJNATH
Suffix:
Gender:F
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:MEDICAL CENTER BLVD
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27157-0001
Mailing Address - Country:US
Mailing Address - Phone:336-716-5599
Mailing Address - Fax:336-716-3202
Practice Address - Street 1:1000 BLYTHE BLVD
Practice Address - Street 2:CMC ANNEX 1ST FLOOR
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28203-5812
Practice Address - Country:US
Practice Address - Phone:704-355-0720
Practice Address - Fax:704-355-5948
Is Sole Proprietor?:No
Enumeration Date:2006-09-28
Last Update Date:2016-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC118771207Q00000X
NC2006-01672207Q00000X
TXP8010207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC118771OtherNC STATE LICENSE NUMBER
TXP8010OtherSTATE LICENSE
SCNC1816Medicaid
NC1578655668Medicaid
NC118771OtherNC STATE LICENSE NUMBER
NCNC9688EMedicare UPIN
NCNC9688FMedicare UPIN
NCNC9688GMedicare UPIN