Healthcare Provider Details

I. General information

NPI: 1235368507
Provider Name (Legal Business Name): NAKSHATRA SAXENA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/08/2009
Last Update Date: 08/21/2023
Certification Date: 08/21/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

901 N WINSTEAD AVE
ROCKY MOUNT NC
27804-8467
US

IV. Provider business mailing address

PO BOX 7200
ROCKY MOUNT NC
27804-0200
US

V. Phone/Fax

Practice location:
  • Phone: 252-937-0241
  • Fax: 252-937-3104
Mailing address:
  • Phone: 252-937-0200
  • Fax: 252-451-0056

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number201500374
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: