Individual
MASSOUD BARADARAN SHORAKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4815 JOHNSTON OEHLER RD, STE 200, CHARLOTTE, NC 28269-1065
(704) 801-7410
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
2022-01246
NC
Other
Enumeration date
04/10/2018
Last updated
07/15/2024
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