Shiva Kumar Rao, MD
Surgery in Winston Salem, NC. Individual provider (NPI-1).
NPI number1790779841
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1790779841
- Entity type
- Individual (NPI-1)
- Name
- Shiva Kumar Rao
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 6, 2005
- Last updated
- Jul 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208600000X | Surgery | 9401479 | NC | Yes |
Practice location
4692 Brownsboro RdWinston Salem, NC 27106-3410
Phone 336-251-1114 · Fax 336-251-1117
Mailing address
511 Holly RdRoanoke Rapids, NC 27870-2270
Phone 252-537-2254
Other practice locations
40 Anna Louise Ln
Roanoke Rapids, NC 27870-8648
Roanoke Rapids, NC 27870-8648
Phone 252-537-2254 · Fax 252-537-1749
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