Individual
RENUKA SHIV HARSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
218 FOUST ST STE B, ASHEBORO, NC 27203-5476
(336) 626-2793
(336) 626-4737
Mailing address
218 FOUST ST STE B, ASHEBORO, NC 27203-5476
(336) 626-2793
(336) 626-4737
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
30985
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40154
BLUE CROSS BLUE SHEILD NC
NC
05
—
8940154
—
NC
Enumeration date
01/25/2007
Last updated
07/09/2007
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