Rao, Shiva Kumar

Rao, Shiva Kumar is an individual health care provider with primary practice located at 4692 Brownsboro Rd , Winston Salem NC 27106-3410. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Rao, Shiva Kumar can be contacted via phone (336) 251-1114.

Contact Information

Primary practice address
4692 Brownsboro Rd Winston Salem NC 27106-3410
Fax: (336) 251-1117
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 9401479 North Carolina

Profile Details

NPI number 1790779841
LBN Legal business name Rao, Shiva Kumar
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2005
Last updated Jul 21st, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790779841 NPPES
North Carolina MEDICAID 8975961

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