Individual
BALKUNJE VITTAL SHENOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9735 KINCEY AVE STE 201, HUNTERSVILLE, NC 28078-9118
(704) 414-2870
Mailing address
7036 WHITEMARSH COURT, CHARLOTTE, NC 28210-4901
(704) 552-1669
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
26369
NC
Other
Enumeration date
07/07/2008
Last updated
06/10/2011
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