Individual
DR. RAJA RAJESWARA RAO PALADUGU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1370 W D ST, NORTH WILKESBORO, NC 28659-3506
(336) 651-8100
(336) 716-0030
Mailing address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 651-8100
(336) 716-0030
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
19254
SC
208M00000X
Hospitalist Physician
19254
SC
208M00000X
Hospitalist Physician
Primary
200300274
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110150751
RAILROAD MEDICARE
SC
01
—
1316155112
GROUP NPI
SC
01
—
1578880043
GROUP NPI
SC
01
—
DQ5333
RAILROAD MEDICARE
SC
05
—
GP4690
—
SC
05
—
GP5407
—
SC
01
—
P00437298
RAILROAD MEDICARE
SC
05
—
T32550
—
SC
Enumeration date
03/07/2006
Last updated
07/15/2024
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