Individual
UTTSAV BHANUPRASAD SANDESARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1 MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-4500
(336) 716-2011
Mailing address
8 W 3RD ST APT 404, WINSTON SALEM, NC 27101-3974
(314) 458-1083
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
2024-00425
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/03/2020
Last updated
08/22/2024
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