Shiva Kumar Rao, MD | |
4692 Brownsboro Rd, Winston Salem, NC 27106-3410 | |
(336) 251-1114 | |
(336) 251-1117 |
Full Name | Shiva Kumar Rao |
---|---|
Gender | Male |
Speciality | Surgery |
Location | 4692 Brownsboro Rd, Winston Salem, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790779841 | NPI | - | NPPES |
8975961 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 9401479 (North Carolina) | Primary |
Entity Name | Physicians Eldercare Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023083268 PECOS PAC ID: 0648184705 Enrollment ID: O20031113000745 |
Mailing Address | Practice Location Address |
---|---|
Shiva Kumar Rao, MD 511 Holly Rd, Roanoke Rapids, NC 27870-2270 Ph: (252) 537-2254 | Shiva Kumar Rao, MD 4692 Brownsboro Rd, Winston Salem, NC 27106-3410 Ph: (336) 251-1114 |
Nikhil Teppara, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2915 Lyndhurst Ave, Winston Salem, NC 27103 Phone: 336-765-5221 Fax: 336-765-0430 | |
Gregory Stiegler Waters, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-2255 Fax: 336-716-6637 | |
Charles Siewers Turner, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-2255 Fax: 336-716-6637 | |
Konstantinos Ioannis Votanopoulos, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-2255 Fax: 336-716-6637 | |
Bansi P Shah, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 3318 Healy Dr, Winston Salem, NC 27103 Phone: 336-768-3530 Fax: 336-768-1329 | |
Jennifer Andrews Sumner, M.D. Surgery Medicare: Medicare Enrolled Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-4241 | |
Clancy J Clark, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-9272 Fax: 336-716-6637 |