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Individual

DR. SANJEEV KUMAR DEVESHWAR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1331 NORTH ELM STREET, SUITE 200, GREENSBORO, NC 27401-6304
(336) 274-9617
(336) 482-2177
Mailing address
PO BOX 63112, CHARLOTTE, NC 28263-3112
(336) 274-9617
(336) 482-2177

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
200000768
NC
2085R0204X
Vascular & Interventional Radiology Physician
Primary
200000768
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1235129321
VIRGINIA MEDICAID
VA
01
1269U
BLUE CROSS BLUE SHIELD
NC
01
1608432
UNITED HEALTHCARE
NC
01
300113396
RAILROAD MEDICARE
NC
01
36808
PARTNERS
NC
05
891269U
NC
01
99035
MEDCOST
NC
Enumeration date
10/28/2005
Last updated
03/24/2023
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