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Individual

MR. KARTIK SHATAGOPAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
401 MOCKSVILLE AVE FL 2, SALISBURY, NC 28144-2735
(704) 633-9620
(704) 633-7504
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 633-9620
(704) 633-7504

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01074384A
IN
207R00000X
Internal Medicine Physician
2020-03525
NC
207RI0011X
Interventional Cardiology Physician
Primary
2020-03525
NC

Other

Enumeration date
04/26/2011
Last updated
10/26/2020
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