Individual
MOHAMMED EHSAANUDDIN SHAHNAWAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1900 RANDOLPH RD STE 1010, CHARLOTTE, NC 28207-1117
(704) 384-1390
(704) 384-1063
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
2023-00412
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
GA
Other
Enumeration date
04/04/2017
Last updated
08/23/2023
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