Individual
SHRUTI CHUDASAMA TANNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2709 BLUE RIDGE RD STE 150, RALEIGH, NC 27607-6493
(919) 797-0996
Mailing address
2709 BLUE RIDGE RD STE 150, RALEIGH, NC 27607-6493
(919) 797-0996
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
2015-00943
NC
Other
Enumeration date
06/04/2008
Last updated
06/05/2024
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