Individual
AMISH CHANDRAKANT SURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-6674
(336) 716-9188
Mailing address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-6674
(336) 716-9188
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
2018-02147
NC
207RC0000X
Cardiovascular Disease Physician
D0064227
MD
207RI0011X
Interventional Cardiology Physician
2018-02147
NC
207RI0011X
Interventional Cardiology Physician
D0064227
MD
207U00000X
Nuclear Medicine Physician
D0064227
MD
207UN0901X
Nuclear Cardiology Physician
D0064227
MD
Other
Enumeration date
05/24/2006
Last updated
01/09/2025
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