Provider Demographics
NPI:1053345348
Name:ROSTAND, ROBERT ALTON (MD)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:ALTON
Last Name:ROSTAND
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1701 WESTCHESTER DRIVE
Mailing Address - Street 2:SUITE 850
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27262-7254
Mailing Address - Country:US
Mailing Address - Phone:336-802-2400
Mailing Address - Fax:336-802-2001
Practice Address - Street 1:4515 PREMIER DR
Practice Address - Street 2:SUITE 204
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27265-8357
Practice Address - Country:US
Practice Address - Phone:336-802-2075
Practice Address - Fax:336-802-2076
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2015-01-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC22434207R00000X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC110113971OtherRR MEDICARE
NC8973442Medicaid
NC110113971OtherRR MEDICARE
NC8973442Medicaid