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Igor Shorokhov
Private Vehicle in Charlotte, North Carolina
NPI 1225681042

Igor Shorokhov is a Private Vehicle based in Charlotte, NC. Igor Shorokhov practices in Charlotte, NC. The NPI Number for Igor Shorokhov is 1225681042 and holds a License No. (North Carolina).

The current practice location address for Igor Shorokhov is 8516 Dianthus Ct Unit 204, Charlotte, NC and can be reached out via phone at 440-313-9246.

Location: 8516 Dianthus Ct Unit 204, Charlotte, NC, 28277-3989
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1225681042
Provider Name
Igor Shorokhov
Credential
Provider Entity Type
Individual
Gender
Male
Address
8516 Dianthus Ct Unit 204, Charlotte, NC, 28277-3989
Phone Number
440-313-9246
Fax Number
Provider Enumeration Date
07/21/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
8516 Dianthus Ct Unit 204
City
Charlotte
State
North Carolina
Zip
28277-3989
Phone Number
440-313-9246
Fax Number
person
Provider Business Mailing Address Details
Address
8516 Dianthus Ct Unit 204
City
Charlotte
State
North Carolina
Zip
28277-3989
Phone Number
440-313-9246
Fax Number
person
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Bus
Speciality
-
Taxonomy
347B00000X
License No.
()
Definition
A public or private organization or business licensed to provide bus services.
person
Provider's Taxonomy Details 2
Type
Transportation Services
Classification
Private Vehicle
Speciality
-
Taxonomy
347C00000X
License No.
()
Definition
An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.
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