Healthcare Provider Details

I. General information

NPI: 1467568071
Provider Name (Legal Business Name): SHOBHA SHEKHAR M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/23/2006
Last Update Date: 01/08/2026
Certification Date: 01/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2817, ROCK MERRITT AVENUE STOP A
FORT BRAGG NC
28310-0001
US

IV. Provider business mailing address

2817, ROCK MERRITT AVENUE STOP A
FORT BRAGG NC
28310-0001
US

V. Phone/Fax

Practice location:
  • Phone: 910-907-8707
  • Fax:
Mailing address:
  • Phone: 910-907-8707
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number2006-01347
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: