Provider Demographics
NPI:1912993809
Name:WINSTON, NUTAN P (MD)
Entity Type:Individual
Prefix:
First Name:NUTAN
Middle Name:P
Last Name:WINSTON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:NUTAN
Other - Middle Name:P
Other - Last Name:MEHTA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 650782
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75265-0782
Mailing Address - Country:US
Mailing Address - Phone:302-733-0806
Mailing Address - Fax:302-733-0854
Practice Address - Street 1:701 N CLAYTON ST
Practice Address - Street 2:3RD FLOOR
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19805-3165
Practice Address - Country:US
Practice Address - Phone:302-421-4330
Practice Address - Fax:302-421-4331
Is Sole Proprietor?:No
Enumeration Date:2005-09-26
Last Update Date:2022-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC1-0006531207L00000X
CAC162073207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
DEP00717125OtherRAILROAD MEDICARE PTAN
DE2099859000OtherAMERIHEALTH PIN
DE2099859000OtherAMERIHEALTH PIN