Individual provider Active NPI

Sukhwant Kaur Walha, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Asheboro, NC
National Provider Identifier
1063563120
Registry record updated Jan 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
25839 Issued in NC
Practice address
138 Dublin Square Rd Ste a
Asheboro, NC 27203-8601
Phone
(336) 626-2688
Fax
(336) 626-4100
NPI assigned
Jan 16, 2007
Last updated
Jan 9, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 25839 NC Primary

Addresses

Primary practice location

138 Dublin Square Rd Ste a
Asheboro, NC 27203-8601

Mailing address

PO Box 5418
Asheboro, NC 27204-5418
Phone (336) 626-2688

Other identifiers 1

IdentifierTypeStateIssuer
8985252MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357689600000",
    "number": "1063563120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5418",
            "city": "ASHEBORO",
            "state": "NC",
            "postal_code": "272045418",
            "telephone_number": "336-626-2688",
            "fax_number": "336-626-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 DUBLIN SQUARE RD STE A",
            "city": "ASHEBORO",
            "state": "NC",
            "postal_code": "272038601",
            "telephone_number": "336-626-2688",
            "fax_number": "336-626-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALHA",
        "first_name": "SUKHWANT",
        "middle_name": "KAUR",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-16",
        "last_updated": "2013-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NC",
            "license": "25839",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8985252",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.