Individual
DR. DHYAN RAJAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
195 KIMEL PARK DR STE 200, WINSTON SALEM, NC 27103-6967
(336) 768-6211
(336) 768-6869
Mailing address
195 KIMEL PARK DR STE 200, WINSTON SALEM, NC 27103-6967
(336) 768-6211
(336) 768-6869
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
2016-01417
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
954124100
—
MD
01
—
S050-0585
CAREFIRST BC/BS
MD
Enumeration date
10/22/2008
Last updated
08/07/2024
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