Individual
SWETHIKA HARINI SUNDARAVEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-6674
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
2023-01359
NC
390200000X
Student in an Organized Health Care Education/Training Program
TRN#23255
FL
Other
Enumeration date
06/24/2016
Last updated
08/10/2023
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