Provider Demographics
NPI:1316147150
Name:AQUINO, KAREN MARGHANITA (MD)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:MARGHANITA
Last Name:AQUINO
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 1:301 E WENDOVER AVE
Mailing Address - Street 2:SUITE 310
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27401-1230
Mailing Address - Country:US
Mailing Address - Phone:336-832-3070
Mailing Address - Fax:336-832-3075
Practice Address - Street 1:301 E WENDOVER AVE
Practice Address - Street 2:SUITE 310
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27401-1230
Practice Address - Country:US
Practice Address - Phone:336-832-3070
Practice Address - Fax:336-832-3075
Is Sole Proprietor?:No
Enumeration Date:2007-07-19
Last Update Date:2021-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2014-024562084N0400X
390200000X
TXP29472084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program