Individual
KULSUM BANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10660 PARK RD, STE 1100, CHARLOTTE, NC 28210-8413
(980) 442-5400
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2019-01891
NC
207RH0003X
Hematology & Oncology Physician
Primary
2019-01891
NC
Other
Enumeration date
06/24/2016
Last updated
07/15/2024
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