Individual provider · NPI-1

Shailaja Amirishetty, MD

Internal Medicine · Gastonia, NC

NPI number1669760534
StatusActive
Last updated in NPPESApr 30, 2016

Details

NPI
1669760534
Entity type
Individual (NPI-1)
Name
Shailaja Amirishetty
Credential
MD
Sex
Female
Sole proprietor
No
Enumeration date
Jul 13, 2011
Last updated
Apr 30, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine2016-00130NCYes
207R00000X Internal MedicineMD443055PA

Practice location

2525 Court Dr
Gastonia, NC 28054-2140

Phone 704-834-4390 · Fax 704-834-3274

Mailing address

2525 Court Dr
Gastonia, NC 28054-2140

Phone 704-834-4390 · Fax 704-834-3274

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