Organization
ABDUL R GANGOO MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ABDUL RASHID GANGOO MD (PRESIDENT)
(704) 739-8946
Entity
Organization
Contact information
Practice address
810 W KING ST, KINGS MOUNTAIN, NC 28086-2748
(704) 739-8946
Mailing address
810 W KING ST, KINGS MOUNTAIN, NC 28086-2748
(704) 739-8946
(704) 739-6443
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
23024
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8934472
—
NC
Enumeration date
08/16/2010
Last updated
01/17/2021
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