Individual
GAURANG MANILAL PALIKH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
407 W KING ST, KINGS MOUNTAIN, NC 28086-3345
(704) 730-8461
(704) 730-8349
Mailing address
PO BOX 1502, SHELBY, NC 28151-1502
(704) 730-8461
(704) 730-8349
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
LL29193
SC
2084N0400X
Neurology Physician
141167
NC
2084N0400X
Neurology Physician
Primary
2009-01761
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790704633
—
NC
05
—
5916921
—
NC
05
—
NC1254
—
SC
Enumeration date
07/19/2006
Last updated
04/26/2022
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