Individual
DR. VENKATA RAVI SHANKAR CHIVUKULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3333 SILAS CREEK PKWY, WINSTON SALEM, NC 27103-3013
(336) 718-3550
(336) 277-6981
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
2017-01313
NC
Other
Enumeration date
06/15/2008
Last updated
07/19/2024
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