Provider Demographics
NPI:1679151690
Name:BAIR, KALPANA GHIMIRE (MD)
Entity type:Individual
Prefix:
First Name:KALPANA
Middle Name:GHIMIRE
Last Name:BAIR
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 1:300 E WENDOVER AVE
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27401-1229
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1409 UNIVERSITY DR STE 105
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:NC
Practice Address - Zip Code:27215-8787
Practice Address - Country:US
Practice Address - Phone:336-584-5659
Practice Address - Fax:336-584-4072
Is Sole Proprietor?:No
Enumeration Date:2021-03-31
Last Update Date:2025-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI81377-20207Q00000X
NC2024-03399207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI100162966Medicaid