Shiva Jarrahi Kincaid, MD
Internal Medicine in Winston Salem, NC. Individual provider (NPI-1).
NPI number1063404283
StatusActive
Last updated in NPPESJun 16, 2010
Details
- NPI
- 1063404283
- Entity type
- Individual (NPI-1)
- Name
- Shiva Jarrahi Kincaid
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 16, 2005
- Last updated
- Jun 16, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 96-01195 | NC | Yes |
Practice location
1930 North Peace Haven RdWinston Salem, NC 27106-4817
Phone 336-716-2255 · Fax 336-760-0254
Mailing address
Po Box 344Winston Salem, NC 27102-0344
Phone 336-716-2255 · Fax 336-760-0254
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