Individual
MRS. SHEILA BHAGWANDASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
52 ANNA LOUISE LANE, ROANOKE RAPIDS, NC 27870
(252) 537-6465
(252) 535-0951
Mailing address
52 ANNA LOUISE LANE, ROANOKE RAPIDS, NC 27870
(252) 537-6465
(252) 535-0951
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
38443
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006701019
—
VA
01
—
139315
BC VA
VA
01
—
15527
BC NC
NC
05
—
8915527
—
NC
Enumeration date
04/28/2006
Last updated
08/16/2011
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