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Individual

KHUSHBU RAJESH SHAH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AGNP

Contact information

Practice address
14135 BALLANTYNE CORPORATE PL STE 200, CHARLOTTE, NC 28277-0768
(980) 488-9520
(980) 488-9525
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5020052
NC
363LA2200X
Adult Health Nurse Practitioner
5020052
NC

Other

Enumeration date
03/19/2024
Last updated
01/31/2025
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