Individual
SHALINI MUNDRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8401 UNIVERSITY EXEC PARK DR STE 123, CHARLOTTE, NC 28262-1358
(704) 503-4400
(704) 503-4030
Mailing address
8401 UNIVERSITY EXEC PARK DR STE 123, CHARLOTTE, NC 28262-1358
(704) 503-4400
(704) 503-4030
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2006-01088
NC
207RN0300X
Nephrology Physician
Primary
2006-01088
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5904510
—
NC
Enumeration date
07/30/2006
Last updated
02/14/2023
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