Individual
DR. MUKESH KUMAR NIGAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10628 PARK RD, CHARLOTTE, NC 28210-8407
(704) 667-1000
Mailing address
6135 PARK SOUTH DR STE 510, CHARLOTTE, NC 28210-0100
(704) 749-3116
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
0101233799
VA
207L00000X
Anesthesiology Physician
Primary
200300271
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
066EA
BCBS
NC
01
—
277983
ANTHEM
VA
05
—
5721130
—
VA
05
—
89066EA
—
NC
Enumeration date
05/01/2006
Last updated
09/20/2024
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