Provider Demographics
NPI:1699754689
Name:BATHORY, TAMAS P (MD)
Entity type:Individual
Prefix:
First Name:TAMAS
Middle Name:P
Last Name:BATHORY
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2000 FRONTIS PLAZA BLVD STE 200
Mailing Address - Street 2:(ATTN) FORSYTH MEDICAL GROUP
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27103-5616
Mailing Address - Country:US
Mailing Address - Phone:336-277-2435
Mailing Address - Fax:336-277-9275
Practice Address - Street 1:3333 SILAS CREEK PKWY
Practice Address - Street 2:ATTN: INPATIENT PHYSICIANS SERVICES OF FORSYTH
Practice Address - City:WINSTON-SALEM
Practice Address - State:NC
Practice Address - Zip Code:27103-3013
Practice Address - Country:US
Practice Address - Phone:336-718-7080
Practice Address - Fax:336-718-9622
Is Sole Proprietor?:No
Enumeration Date:2006-01-10
Last Update Date:2020-11-05
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Provider Licenses
StateLicense IDTaxonomies
NC200101171207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC891299PMedicaid
NC891299PMedicaid
NC2299358Medicare ID - Type Unspecified