# MS. CARA SHOSHANA DOUGLASS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1952567166
- **Gender:** F
- **Credential:** D.O.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 2011-01494 | NC | — |
| 207R00000X | Internal Medicine Physician | 58.002480 | OH | — |
| 207R00000X | Internal Medicine Physician | 87933 | SC | Yes |

## Other

- **Enumeration date:** 08/07/2008
- **Last updated:** 04/22/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 5918234 | — | NC |
| 01 | — | NC2698A | MEDICARE PTAN | NC |
| 01 | — | P01019062 | RR MEDICARE | NC |