Individual
INDRANI ENID ACOSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3333 SILAS CREEK PKWY, WINSTON SALEM, NC 27103-3013
(336) 718-7594
(336) 277-4239
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
2014-01109
NC
2084N0400X
Neurology Physician
MD457697
PA
2084N0400X
Neurology Physician
ME 107150
FL
Other
Enumeration date
09/25/2007
Last updated
03/18/2026
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