Individual
ASHISH JAIRATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
MEDICAL CENTER BOULEVARD, DEPARTMENT OF RADIOLOGY, WAKE FOREST SCHOOL OF MEDICINE, WINSTON-SALEM, NC 27157-1088
(336) 716-2471
(336) 716-0555
Mailing address
MEDICAL CENTER BOULEVARD, DEPARTMENT OF RADIOLOGY, WAKE FOREST SCHOOL OF MEDICINE, WINSTON-SALEM, NC 27157-1088
(336) 716-2471
(336) 716-0555
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
226033
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/24/2017
Last updated
01/10/2018
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