Individual
SHOBA JAYARAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1423 E FRANKLIN ST, STE I, MONROE, NC 28112-5266
(800) 230-1721
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
2020-03258
NC
Other
Enumeration date
03/27/2015
Last updated
07/15/2024
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