Healthcare Provider Details

I. General information

NPI: 1457292922
Provider Name (Legal Business Name): SHIKHA RAI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/01/2026
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

113 W INNES ST
SALISBURY NC
28144-4338
US

IV. Provider business mailing address

224 KINGSPORT DR NE
CONCORD NC
28025-2986
US

V. Phone/Fax

Practice location:
  • Phone: 980-305-8780
  • Fax: 980-892-0404
Mailing address:
  • Phone: 571-332-4097
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number4315
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: