MEDICARE: JANAKIRAMSETTY MD.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	19284	NC

General Provider Information

NPI Number	:	1043291420
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JANAKIRAMSETTY MD.

Provider Business Mailing Address
First Line	:	217 STAFFORDSHIRE RD
Second Line	:
City	:	WINSTON-SALEM
State	:	NC
Zip	:	27104-2719
Country	:	US
Telephone Number	:	336-768-5394
Fax Number	:	336-768-5394

Provider Business Practice Location Address
First Line	:	217 STAFFORDSHIRE RD
Second Line	:
City	:	WINSTON-SALEM
State	:	NC
Zip	:	27104-2719
Country	:	US
Telephone Number	:	336-768-5394
Fax Number	:	336-768-5394

Authorized Official
Title or Position	:	ATTENDING PHYSICIAN
Name	:	DR. JANAKIRAM SETTY
Credential	:	MD
Telephone Number	:	336-768-5394

Provider Enumeration Date	:	11/10/2005
Last Update Date	:	07/24/2008

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