Individual
JIGISHA SRIVASTAV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-3182
(336) 716-5168
Mailing address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 713-4156
(336) 716-7359
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2024-00855
NC
208M00000X
Hospitalist Physician
2024-00855
NC
Other
Enumeration date
04/01/2021
Last updated
10/04/2025
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