Provider Demographics
NPI:1932781085
Name:BHIMBRA, SONAM (ND)
Entity Type:Individual
Prefix:DR
First Name:SONAM
Middle Name:
Last Name:BHIMBRA
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1101 VISTA VIEW LN APT 123
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27103-3136
Mailing Address - Country:US
Mailing Address - Phone:336-912-3215
Mailing Address - Fax:
Practice Address - Street 1:755 HIGHLAND OAKS DR STE 102
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27103-7106
Practice Address - Country:US
Practice Address - Phone:336-713-6100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-27
Last Update Date:2021-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath