Individual
PALLAVI SHARMA GOMADAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
186 KIMEL PARK DR, WINSTON SALEM, NC 27103
(336) 277-2000
(336) 277-2050
Mailing address
1 MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
2015-02490
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
NC
Other
Enumeration date
05/22/2012
Last updated
10/25/2020
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