Individual
SOROUSH RAIS-BAHRAMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
140 CHARLOIS BLVD, WINSTON SALEM, NC 27103-1522
(336) 716-4131
(336) 713-0328
Mailing address
100 KIMEL FOREST DR, WINSTON SALEM, NC 27103-6074
(336) 716-2255
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
2025-01614
NC
208800000X
Urology Physician
33402
AL
Other
Enumeration date
12/20/2011
Last updated
11/03/2025
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