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NPI 1962699892 · live from the CMS NPI Registry

Indrani Enid Acosta, M.D.

Psychiatry & Neurology, Neurology in Winston Salem, NC. National Provider Identifier 1962699892, active.

NPI record

NPI1962699892 Type 1 · individual
StatusActive
Primary specialtyPsychiatry & Neurology, Neurology 2084N0400X
Practice location3333 Silas Creek Pkwy, Winston Salem, NC 27103
Practice phone336-718-7594
Mailing addressPo Box 60447, Charlotte, NC 28260
EnumeratedSeptember 25, 2007
Last updatedMarch 18, 2026
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Psychiatry & Neurology, Neurology2084N0400XME 107150 (FL)
Psychiatry & Neurology, Neurology primary2084N0400X2014-01109 (NC)
Psychiatry & Neurology, Neurology2084N0400XMD457697 (PA)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.