Provider Demographics
NPI:1043291420
Name:JANAKIRAMSETTY MD.
Entity Type:Organization
Organization Name:JANAKIRAMSETTY MD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ATTENDING PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:JANAKIRAM
Authorized Official - Middle Name:
Authorized Official - Last Name:SETTY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:336-768-5394
Mailing Address - Street 1:217 STAFFORDSHIRE RD
Mailing Address - Street 2:
Mailing Address - City:WINSTON-SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27104-2719
Mailing Address - Country:US
Mailing Address - Phone:336-768-5394
Mailing Address - Fax:336-768-5394
Practice Address - Street 1:217 STAFFORDSHIRE RD
Practice Address - Street 2:
Practice Address - City:WINSTON-SALEM
Practice Address - State:NC
Practice Address - Zip Code:27104-2719
Practice Address - Country:US
Practice Address - Phone:336-768-5394
Practice Address - Fax:336-768-5394
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-10
Last Update Date:2008-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC19284207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty