Active NPI
Venkateswara Rao Gurram, MD
- Surgery Physician
- Winston Salem, NC
National Provider Identifier
1386128601
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 2018-02003
- Practice address
- 5075 Winster Dr Apt 202
Winston Salem, NC 27106-2988 - Phone
- (336) 734-3636
- NPI assigned
- Sep 21, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 2018-02003 | NC | Primary |
Addresses
Primary practice location
5075 Winster Dr Apt 202
Winston Salem, NC 27106-2988
Mailing address
5075 Winster Dr Apt 202
Winston Salem, NC 27106-2988
Phone (336) 734-3636
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2018-02003 | NC | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537488000000",
"number": "1386128601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5075 WINSTER DR APT 202",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271062988",
"telephone_number": "336-734-3636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5075 WINSTER DR APT 202",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271062988",
"telephone_number": "336-734-3636"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GURRAM",
"first_name": "VENKATESWARA RAO",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-09-21",
"last_updated": "2018-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NC",
"license": "2018-02003",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.