Individual
SHIVA KUMAR RAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4692 BROWNSBORO RD, WINSTON SALEM, NC 27106-3410
(336) 251-1114
(336) 251-1117
Mailing address
511 HOLLY RD, ROANOKE RAPIDS, NC 27870-2270
(252) 537-2254
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
9401479
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8975961
—
NC
Enumeration date
09/06/2005
Last updated
07/21/2022
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