Individual
ESWARA MOORTHY SELLAMUTHU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-4330
(336) 716-7243
(336) 716-7432
Mailing address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-7243
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
2024-01258
NC
2085R0202X
Diagnostic Radiology Physician
R79173
AZ
Other
Enumeration date
02/02/2022
Last updated
10/15/2024
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