Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shraddha Jai Khokhal

Individual provider Pain Medicine Physician · NPI 1215707096

Shraddha Jai Khokhal is a Nurse Practitioner in Greensboro, North Carolina. Qualified in 2023, 3 years ago. Practices with Bethany Medical Center, a 71-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
3
Licensed in
NC
In the registry since
2024
Specialties on file
3

Practice location Address checks out

3402 Battleground Ave
Greensboro, NC 27410-2578
Phone: (336) 883-0029
Fax: (336) 883-0867
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 5019413 (NC)
Pain Medicine Physician Taxonomy 208VP0000X · Licence 5019413 (NC)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 5019413 (NC)

Record details

NPI number1215707096
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 3, 2024
Last updated in NPPESJuly 19, 2024
Certification dateJuly 19, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Bethany Medical Center — 71 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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