Basic Information
| Provider Information | |||||||||
| NPI: | 1225003353 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | BAZEL | ||||||||
| FirstName: | SOHAIL | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 645 N MAIN ST | ||||||||
| Address2: | |||||||||
| City: | HIGH POINT | ||||||||
| State: | NC | ||||||||
| PostalCode: | 272605017 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3369670846 | ||||||||
| FaxNumber: | 3368992176 | ||||||||
| Practice Location | |||||||||
| Address1: | 507 N LINDSAY ST | ||||||||
| Address2: | |||||||||
| City: | HIGH POINT | ||||||||
| State: | NC | ||||||||
| PostalCode: | 272624303 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3368830029 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/22/2006 | ||||||||
| LastUpdateDate: | 04/22/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
| IsOrganizationSubpart: | |||||||||
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| AuthorizedOfficialNamePrefix: | |||||||||
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| NPICertificationDate: | 04/22/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 9601768 | NC | N | Allopathic & Osteopathic Physicians | Internal Medicine | 208VP0000X | 9601768 | NC | Y | Allopathic & Osteopathic Physicians | Pain Medicine | Pain Medicine |
ID Information
| ID | Type | State | Issuer | Description | 110209501 | 01 | NC | RAILROAD NUMBER | OTHER | 1046G | 01 | NC | BCBS | OTHER | 0408170 | 01 | NC | UNITED HEALTHCARE NUMBER | OTHER | 891046G | 05 | NC | MEDICAID | 17492 | 01 | NC | PARTNERS MEDICARE CHOICE | OTHER | 4492816 | 01 | NC | AETNA - NON HMO NUMBER | OTHER | 8418827 | 01 | NC | CIGNA HEALTHCARE NUMBER | OTHER | C1032 | 01 | NC | MEDCOST NUMBER | OTHER | 289884 | 01 | NC | MAMSI NUMBER | OTHER |