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Individual

MILAN DATTATAM NADKARNI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255
Mailing address
PO BOX 344, WINSTON SALEM, NC 27102-0344
(336) 716-2255

Taxonomy

Speciality
Code
Description
License number
State
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
009701831
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1117T
BCBS
05
221419000
WV
01
22256
PARTNERS
01
5755636
AETNA
05
6051308
VA
01
78470
MEDCOST
05
891117T
NC
05
Q01831
SC
Enumeration date
11/30/2005
Last updated
01/21/2011
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