Individual
DARIUS A. JAHANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-2323
(336) 716-2255
Mailing address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(402) 717-9800
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
113186
FL
207RG0100X
Gastroenterology Physician
0101256946
VA
207RG0100X
Gastroenterology Physician
Primary
2019-01440
NC
207RG0100X
Gastroenterology Physician
29957
NE
390200000X
Student in an Organized Health Care Education/Training Program
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1861636425
—
VA
Enumeration date
04/27/2009
Last updated
07/25/2019
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