Individual
DHISHNA CHAUDHARY MANAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-0752
(336) 716-7277
Mailing address
2718 COTTAGE HILL LN, WINSTON SALEM, NC 27106-6554
(561) 699-2807
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
2023-02265
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/20/2017
Last updated
04/01/2024
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