Individual
DR. RAM VENKATESH ANANTHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
WAKE FOREST BAPTIST MEDICAL CTR, 1 MEDICAL CENTER BOULEVARD, WINSTON SALEM, NC 27157-0001
(336) 716-7398
Mailing address
800 CHATHAM RD, APARTMENT 143, WINSTON SALEM, NC 27101-1204
(336) 935-9058
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
2016-01236
NC
2086S0102X
Surgical Critical Care Physician
Primary
2016-01236
NC
2086S0127X
Trauma Surgery Physician
2016-01236
NC
Other
Enumeration date
07/17/2016
Last updated
01/12/2017
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