Individual
NOEL DESANTOS IBANEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
16740 DAVIDSON CONCORD RD, DAVIDSON, NC 28036-8746
(704) 444-2400
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
2010-01897
NC
2084F0202X
Forensic Psychiatry Physician
2010-01897
NC
2084P0005X
Neurodevelopmental Disabilities Physician
2010-01897
NC
2084P0015X
Psychosomatic Medicine Physician
2010-01897
NC
2084P0800X
Psychiatry Physician
Primary
2010-01897
NC
2084P0802X
Addiction Psychiatry Physician
2010-01897
NC
2084P0804X
Child & Adolescent Psychiatry Physician
2010-01897
NC
2084P0805X
Geriatric Psychiatry Physician
2010-01897
NC
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
2010-01897
NC
Other
Enumeration date
12/07/2009
Last updated
07/24/2024
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