Individual
VENKATESWARA RAO GURRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5075 WINSTER DR APT 202, WINSTON SALEM, NC 27106-2988
(336) 734-3636
Mailing address
5075 WINSTER DR APT 202, WINSTON SALEM, NC 27106-2988
(336) 734-3636
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2018-02003
NC
Other
Enumeration date
09/21/2018
Last updated
09/21/2018
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