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Individual

DR. VENKAT KRISHNA RAJASURYA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D., MPH

Contact information

Practice address
3001 LYNDHURST AVE, WINSTON SALEM, NC 27103
(336) 765-0383
(336) 760-6918
Mailing address
3001 LYNDHURST AVE, WINSTON SALEM, NC 27103-4007
(336) 765-0383
(336) 760-6918

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
201900047
NC
207RP1001X
Pulmonary Disease Physician
036-130003
IL
207RP1001X
Pulmonary Disease Physician
201900047
NC
207RP1001X
Pulmonary Disease Physician
Primary
MD61034745
WA

Other

Enumeration date
07/11/2009
Last updated
07/15/2020
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