Individual
KHUSHBU RAJESH SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP
Contact information
Practice address
125 QUEENS RD STE 510, CHARLOTTE, NC 28204-3512
(980) 302-6440
(980) 302-6445
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
05/18/2026
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