Individual
DR. SHAIVYA PATHAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
111 HOSPITAL DR, TARBORO, NC 27886-2011
(252) 641-7700
Mailing address
111 HOSPITAL DR, TARBORO, NC 27886-2011
(252) 641-7700
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
RTL19-0853
NC
208M00000X
Hospitalist Physician
Primary
202201777
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
NC
Other
Enumeration date
04/14/2019
Last updated
05/01/2026
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