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Organization

BAGHEL PSYCHIATRY, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHANTANU BAGHEL DO (OWNER)
(910) 612-6015
Entity
Organization

Contact information

Practice address
1616 DOCTORS CIRCLE, WILMINGTON, NC 28401
(910) 612-6015
Mailing address
3905 INDEPENDENCE BLVD STE B, WILMINGTON, NC 28412-2472
(910) 612-6015

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary

Other

Enumeration date
08/11/2025
Last updated
08/11/2025
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