Individual
OSAGUONA OSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
201 E GROVER ST, SHELBY, NC 28150-3917
(980) 487-3678
(980) 487-2222
Mailing address
PO BOX 601884, CHARLOTTE, NC 28260-1884
(980) 487-3678
(980) 487-2222
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2005-01139
NC
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
2005-01139
NC
208M00000X
Hospitalist Physician
2005-01139
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5901437
—
NC
05
—
NUP361
—
SC
Enumeration date
10/13/2006
Last updated
07/15/2013
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