Provider Demographics
NPI:1215783188
Name:ZBORNIK THOMPSON, TIKA (MD)
Entity type:Individual
Prefix:
First Name:TIKA
Middle Name:
Last Name:ZBORNIK THOMPSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:TIKA
Other - Middle Name:
Other - Last Name:ZBORNIK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3603 HIGHGATE DR APT E
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27713-9123
Mailing Address - Country:US
Mailing Address - Phone:360-298-2419
Mailing Address - Fax:
Practice Address - Street 1:100 EASTOWNE DR
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514-2286
Practice Address - Country:US
Practice Address - Phone:984-974-4462
Practice Address - Fax:919-843-9355
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-30
Last Update Date:2024-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program