Individual
SAVITHRI NAGESWARAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MBBS
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157
(336) 716-2255
Mailing address
PO BOX 344, WINSTON SALEM, NC 27102-0344
(336) 716-2255
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
200301028
NC
2080H0002X
Pediatric Hospice and Palliative Medicine Physician
Primary
200301028
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10188156
—
VA
01
—
13916
BCBS
NC
05
—
5901154
—
NC
01
—
7417751
AETNA
NC
01
—
806760
PARTNERS
NC
01
—
E3860
MEDCOST
NC
05
—
Q0102B
—
SC
Enumeration date
12/06/2005
Last updated
07/27/2018
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