Individual
SHAILAJA AMIRISHETTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2525 COURT DR, GASTONIA, NC 28054-2140
(704) 834-4390
(704) 834-3274
Mailing address
2525 COURT DR, GASTONIA, NC 28054-2140
(704) 834-4390
(704) 834-3274
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2016-00130
NC
207R00000X
Internal Medicine Physician
MD443055
PA
Other
Enumeration date
07/13/2011
Last updated
04/30/2016
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