Individual
SHUBHAM BAKSHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 HAWTHORNE LN, CHARLOTTE, NC 28204-2515
(513) 807-1952
Mailing address
800 WASHINGTON ST, BOSTON, MA 02111-1552
(513) 807-1952
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
278270
MA
208000000X
Pediatrics Physician
307977
NC
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
307977
NC
Other
Enumeration date
03/31/2016
Last updated
07/29/2022
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