Shastry, Chandra Shakara
Shastry, Chandra Shakara is an individual health care provider with primary practice located at 660 Summit Crossing Pl , Gastonia NC 28054-2104. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Shastry, Chandra Shakara can be contacted via phone (704) 867-0735.Contact Information
Primary practice address
660 Summit Crossing Pl
Gastonia NC 28054-2104
Phone: (704) 867-0735
Fax: (704) 867-0738
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 24736 | North Carolina |
Profile Details
NPI number | 1801855085 |
---|---|
LBN Legal business name | Shastry, Chandra Shakara |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 17th, 2006 |
Last updated | Feb 19th, 2014 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1801855085 | NPPES |
North Carolina | MEDICAID | 8975510 |
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