Healthcare Provider Details

I. General information

NPI: 1891794392
Provider Name (Legal Business Name): VICTOR ZUNIGA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/18/2005
Last Update Date: 08/12/2025
Certification Date: 08/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

216 N MORGAN ST
SHELBY NC
28150-4431
US

IV. Provider business mailing address

201 E GROVER ST
SHELBY NC
28150-3917
US

V. Phone/Fax

Practice location:
  • Phone: 980-436-6462
  • Fax: 828-624-0866
Mailing address:
  • Phone: 704-480-1087
  • Fax: 704-480-1150

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number2007-00406
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number23212
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: