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Individual

SHILPA KASUGANTI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1100 BLYTHE BLVD, CHARLOTTE, NC 28203-5814
(704) 355-9330
Mailing address
1100 BLYTHE BLVD, CHARLOTTE, NC 28203-5814

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
2008-00573
NC

Other

Enumeration date
09/12/2007
Last updated
02/12/2019
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