Individual
AJAY DHAROD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-3182
Mailing address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-3182
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2014-00629
NC
207R00000X
Internal Medicine Physician
DR.0070983
CO
208M00000X
Hospitalist Physician
DR.0070983
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1508157736
VIRGINIA MEDICAID
NC
05
—
1508157736
—
NC
01
—
1861H
BCBS
NC
01
—
280971
MEDCOST
ND
01
—
5069158
UNITED HEALTHCARE
NC
01
—
5505926
AETNA
NC
01
—
P01360486
RR MEDICARE
NC
01
—
Q29014
SC MEDICAID
NC
Enumeration date
04/21/2011
Last updated
03/13/2025
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