Individual
GIRISH RAGHUNATHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
MEDICAL CENTER BOULEVARD DEPARTMENT OF RADIOLOGY, WINSTON SALEM, NC 27157-6110
(336) 716-2471
Mailing address
MEDICAL CENTER BOULEVARD DEPARTMENT OF RADIOLOGY, WINSTON SALEM, NC 27157-6110
(336) 716-2471
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
2023-01165
NC
2085B0100X
Body Imaging Physician
239500
MA
2085R0202X
Diagnostic Radiology Physician
Primary
2023-01165
NC
2085R0202X
Diagnostic Radiology Physician
239500
MA
Other
Enumeration date
06/08/2009
Last updated
07/30/2025
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