Shantala Gopalakrishnan MD

NPI 1700891421 - Internal Medicine - 207R00000X

NPI Details
NPI 1700891421
Gender Female
Enumeration Date 07/30/2006
Last Updated 11/09/2013
Entity Type Individual
Active Over 10 years ago
Practice Location
10628 PARK RD
CHARLOTTE NC, 28210-8407, US
Phone (704) 667-6500
Fax (704) 355-5948
Business Location
PO BOX 601643
CHARLOTTE NC, 28260-1643, US
Phone (704) 667-6500
Fax (704) 355-5948
Toxanomy
Taxonomy Code 207R00000X
License State North Carolina
License Number 200400940
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According to our database, Shantala Gopalakrishnan MD NPI is 1700891421, taxonomy code is 207R00000X and license number is 200400940, license state is located at North Carolina. Shantala Gopalakrishnan MD physically located at 10628 Park Rd, Charlotte NC, 28210-8407. NPI Number Shantala Gopalakrishnan MD has the Individual type.

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1700891421 NPI number is provided on an as is basis without warranty of any kind. 1700891421 is maintained by the National Plan & Provider Enumeration System. The contents of Shantala Gopalakrishnan MD are for informational purposes only.