Individual
SMIRESH SURESH SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1090 NE GATEWAY CT NE, STE 204, CONCORD, NC 28025-2414
(704) 403-7020
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
2013-01070
NC
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
2013-01070
NC
Other
Enumeration date
05/07/2007
Last updated
07/15/2024
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