Individual
DEEPIKA SHANGULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
1918 RANDOLPH RD, SUITE 400, CHARLOTTE, NC 28207-1100
(704) 384-9437
(704) 384-9440
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 384-9437
(704) 384-9440
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
2016-00570
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/17/2012
Last updated
10/26/2020
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