Individual
AJAY IYENGAR SHREENATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1704A WAYNE MEMORIAL DRIVE, GOLDSBORO, NC 27534
(919) 580-1026
(919) 580-1027
Mailing address
1704A WAYNE MEMORIAL DRIVE, GOLDSBORO, NC 27534
(919) 580-1026
(919) 580-1027
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
200500739
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5901460
—
NC
Enumeration date
10/03/2006
Last updated
02/06/2008
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