Individual
SHIVA POOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1070 VINEHAVEN DR NE, CONCORD, NC 28025-2438
(704) 783-1840
Mailing address
1070 VINEHAVEN DR NE, CONCORD, NC 28025-2438
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
1018174
MA
207RG0100X
Gastroenterology Physician
Primary
228515
NC
Other
Enumeration date
03/25/2015
Last updated
09/23/2025
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