Individual
SUSHIL K MANKANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Contact information
Practice address
13830 BALNTYN CORP PL, SUITE 100, CHARLOTTE, NC 28277-3803
(704) 759-2580
Mailing address
13830 BALNTYN CORP PL, SUITE 100, CHARLOTTE, NC 28277-3803
(704) 759-2580
Taxonomy
Speciality
Code
Description
License number
State
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
Primary
2012-01701
NC
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
4301048313
MI
Other
Enumeration date
08/07/2006
Last updated
12/07/2013
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