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Individual

MR. NITIN P SHENOY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1771 TATE BLVD SE, STE 103, HICKORY, NC 28602
(828) 322-1128
(828) 327-9431
Mailing address
1771 TATE BLVD SE, STE 103, HICKORY, NC 28602
(828) 322-1128
(828) 327-9431

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
009701147
NC
207RS0012X
Sleep Medicine (Internal Medicine) Physician
97-01147
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8910616
NC
Enumeration date
04/19/2006
Last updated
05/29/2012
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