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Individual

SHIVANI SUD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
101 MANNING DR, CHAPEL HILL, NC 27514-4220
(919) 966-4131
Mailing address
MASSACHUSETTS GENERAL HOSPITAL, 55 FRUIT ST., BOSTON, MA 02114
(617) 643-0596

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
272856
MA
2085R0001X
Radiation Oncology Physician
Primary
2022-01359
NC
2085R0001X
Radiation Oncology Physician
238339
NC

Other

Enumeration date
06/20/2017
Last updated
08/31/2022
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