MEDICARE: DR. NAEL SHANTI M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician	35-095831	OH
2	207X00000X	Orthopaedic Surgery Physician	44010	KY
3	207XS0117X	Orthopaedic Surgery of the Spine Physician	2013-01658	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1720231749
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NAEL SHANTI M.D.

Provider Business Mailing Address
First Line	:	2000 PERIMETER PARK DR
Second Line	:	STE 200
City	:	MORRISVILLE
State	:	NC
Zip	:	27560-8442
Country	:	US
Telephone Number	:	984-215-4110
Fax Number	:

Provider Business Practice Location Address
First Line	:	1110 SE CARY PKWY
Second Line	:	SUITE 103
City	:	CARY
State	:	NC
Zip	:	27518-7420
Country	:	US
Telephone Number	:	919-297-0000
Fax Number	:	919-232-5328

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/04/2008
Last Update Date	:	10/05/2021

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Directions to “ DR. NAEL SHANTI M.D.” Practice Location

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