IndividualActive
Jay Requarth, MD
NPI 1033147657 · Vascular & Interventional Radiology Physician · Winston Salem, NC
Provider details
- NPI number
- 1033147657
- Entity type
- Individual
- Primary specialty
- Vascular & Interventional Radiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 2005-00403 (NC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
Medical Center Blvd
Winston Salem, NC 27157-0001
Phone: (336) 716-2255
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 344
Winston-Salem, NC 27102-0344
Registry dates
- Enumerated
- 2006-06-30
- Last updated
- 2012-01-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.