Individual
MR. GNANARAJ JOSEPH
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) 716-4649
(336) 716-9916
Mailing address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-4649
(336) 716-9916
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
38221
TN
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
38221
TN
207RP1001X
Pulmonary Disease Physician
Primary
2022-00306
NC
207RP1001X
Pulmonary Disease Physician
38221
TN
207RS0012X
Sleep Medicine (Internal Medicine) Physician
38221
TN
Other
Enumeration date
03/29/2006
Last updated
09/20/2022
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