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Individual
NICHOLAS SHUNGU
Active
Individual
NICHOLAS SHUNGU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2015-00471
NC
207Q00000X
Family Medicine Physician
Primary
51435
SC
207Q00000X
Family Medicine Physician
MD450976
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/22/2011
Last updated
07/21/2022
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