Individual
MARK EDWARD SHOGRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1331 N ELM ST STE 200, GREENSBORO, NC 27401-6304
(336) 274-6682
(336) 274-8097
Mailing address
PO BOX 85378, CHICAGO, IL 60689-5378
(336) 274-6682
(336) 274-8097
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
38848
NC
2085R0202X
Diagnostic Radiology Physician
38848
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
160800
UNITED HEALTHCARE
NC
05
—
1740238740
—
VA
01
—
18335
PARTNERS
NC
01
—
300065901
RAILROAD MEDICARE
NC
01
—
70519
MEDCOST
NC
01
—
7596B
BCBS
NC
05
—
897596B
—
NC
Enumeration date
05/04/2006
Last updated
10/02/2025
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