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Contact Information

IGOR SHOROKHOV
8516 DIANTHUS CT UNIT 204
CHARLOTTE, NC28277-3989
 Phone: 440-313-9246
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Private Vehicle

347C00000X
 

Bus

347B00000X
Indicates primary specialty

NPI Profile & details for IGOR SHOROKHOV · (Male)

NPI # 1225681042
Status Active
Credentials
Entity Individual
Enumeration date 07/21/2019
Last updated 07/21/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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