Healthcare Provider Details

I. General information

NPI: 1710678107
Provider Name (Legal Business Name): SATHWIK MADIREDDY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/16/2023
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

ATRIUM HEALTH WAKE FOREST BAPTIST MEDICAL CENTER MEDICAL CENTER BOULEVARD
WINSTON SALEM NC
27157-0001
US

IV. Provider business mailing address

ATRIUM HEALTH WAKE FOREST BAPTIST MEDICAL CENTER MEDICAL CENTER BOULEVARD
WINSTON SALEM NC
27157-0001
US

V. Phone/Fax

Practice location:
  • Phone: 336-716-6410
  • Fax:
Mailing address:
  • Phone: 336-716-6410
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberRTL26-1032
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: