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Individual

DR. MAMUN SHAHRIER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD, PHD

Contact information

Practice address
626 N BICKETT BLVD, LOUISBURG, NC 27549-2314
(919) 496-2745
(919) 496-3888
Mailing address
626 N BICKETT BLVD, LOUISBURG, NC 27549-2314
(919) 496-2745
(919) 496-3888

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
134JU
BCBS NC
NC
05
89134JU
NC
01
P00055459
RAILROAD MEDICARE
NC
Enumeration date
11/02/2005
Last updated
01/09/2008
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