Individual
SHAILESH MANANDHAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
812 W HAGGARD AVE, ELON, NC 27244-9134
(336) 449-4030
(336) 449-5315
Mailing address
PO BOX 986513, BOSTON, MA 02298-6513
(910) 219-8310
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2020-03574
NC
Other
Enumeration date
03/30/2017
Last updated
11/08/2022
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