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Organization

SUHAS PAI, MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KIMBERLY MEADOWS (BILLING MANAGER)
(704) 864-5550
Entity
Organization

Contact information

Practice address
2555 COURT DRIVE, SUITE 400, GASTONIA, NC 28054-2180
(704) 864-5550
(704) 864-7448
Mailing address
2555 COURT DRIVE, SUITE 400, GASTONIA, NC 28054-2180
(704) 864-5550
(704) 864-7448

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
200701141
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5907792
NC
Enumeration date
11/01/2013
Last updated
11/01/2013
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