Individual
DR. SHANDAL S EMANUEL
Active
Individual
DR. SHANDAL S EMANUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
200500405
NC
208000000X
Pediatrics Physician
200500405
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14015
BC/BS ID
NC
01
—
313413
WELLPATH ID
NC
01
—
5607350
FIRST HEALTH ID
NC
01
—
6114784
CIGNA ID
NC
01
—
7740703
AETNA ID
NC
01
—
E3288
MEDCOST ID
NC
Enumeration date
08/11/2005
Last updated
12/18/2023
Update your record
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