Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Gowd Shiva Nagaraj, MD

Individual provider Anatomic Pathology & Clinical Pathology Physician · NPI 1275659641

Gowd Shiva Nagaraj, MD is a Pathology in Wilmington, North Carolina. Qualified in 1964, 62 years ago. Practices with Integrated Regional Laboratories Pathology Services, LLC, a 133-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
62
Licensed in
NC
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2131 S 17th St
Wilmington, NC 28401-7407
Phone: (910) 343-7074
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X · Licence 2009-00324 (NC)

Record details

NPI number1275659641
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 21, 2007
Last updated in NPPESOctober 16, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPATHOLOGY
Medical schoolOTHER
Graduated 1964 (62 years in practice)
Group practice Integrated Regional Laboratories Pathology Services, Llc — 133 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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