Individual
ZACHARY ALAN SHANITKVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1450 MATTHEWS TOWNSHIP PKWY, MATTHEWS, NC 28105-2387
(704) 246-1846
(704) 246-1462
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
2015-02277
NC
207V00000X
Obstetrics & Gynecology Physician
2018015705
MO
Other
Enumeration date
03/31/2011
Last updated
05/02/2025
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