MR. KARTIK SHATAGOPAM (NPI# 1083905061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083905061 |
| Entity Type | Individual |
| Full Name | MR. KARTIK SHATAGOPAM |
| Credential | M.D. |
| Practice Address |
401 Mocksville Ave Fl 2 Salisbury NC 28144-2735 |
| Mailing Address |
Po Box 60447 Charlotte NC 28260-0447 |
| Practice Telephone | 7046339620 |
| Practice Fax Number | 7046337504 |
| Mailing Telephone | 7046339620 |
| Mailing Fax Number | 7046337504 |
| Enumeration Date | 2011-04-26 |
| Last Update Date | 2020-10-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 2020-03525 | NC | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 01074384A | IN | Allopathic & Osteopathic Physicians |
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
2020-03525 | NC | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2001 W 86th St, Indianapolis, IN 462601902 | 3173383634 |
| Street Address |
401 MOCKSVILLE AVE FL 2 |
| City | SALISBURY |
| State | NC |
| Zip Code | 28144-2735 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639179393 | Novant Medical Group, Inc. | Internal Medicine | 401 Mocksville Ave Fl 2, Salisbury, NC 28144-2735 | 2005-07-26 |
| 1073154233 | Deanna Rattray | Pharmacist | 401 Mocksville Ave Fl 2, Salisbury, NC 28144-2735 | 2019-09-30 |
| 1689227936 | Leann Uon | Nurse Practitioner | 401 Mocksville Ave Fl 2, Salisbury, NC 28144-2735 | 2019-07-16 |
| 1346731155 | Michael Milton Beers | Physician Assistant | 401 Mocksville Ave Fl 2, Salisbury, NC 28144-2735 | 2018-05-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679059364 | Lisbet Lopez Cherniavsky | Dentist | Salisbury Family Dentistry, 140 Mahaley Ave, Salisbury, NC 28144 | 2018-07-16 |
| 1386140945 | Rowan Regional Medical Center, Inc. | Hospice Care, Community Based | 1229 Statesville Blvd, Salisbury, NC 28144 | 2018-04-03 |
| 1184142713 | Ally Home Care Salisbury, LLC | In Home Supportive Care | 301 S Main St Suite 120, Salisbury, NC 28144 | 2017-09-04 |
| 1700236676 | Phase II Transportation Inc | Ambulance | 109 S Mccoy Rd, Salisbury, NC 28144 | 2016-06-21 |
| 1043677727 | Concepts of Independence LLC. | Residential Treatment Facility, Emotionally Disturbed Children | 530 E. Fisher Street, Salisbury, NC 28144 | 2016-01-26 |
| 1801279138 | Tara Puma | Speech-Language Pathologist | 1630 Bellevue Rd, Salisbury, NC 28144 | 2015-07-06 |
| 1285012534 | Stephanie Georgia Pierce | Counselor | 714 South Main Street, S&h Youth and Adult Services, Inc., Salisbury, NC 28144 | 2015-05-07 |
| 1598177248 | Jeffrey Carter | Counselor | 107 W Cemetary St., Salisbury, NC 28144 | 2014-05-29 |
| 1659631786 | Mary Frances Miller | Nurse Practitioner | 1601 Brenner Avenue Endocrinology Bldg(21), Us Dept. of Veteran Affairs W.g.(bill)hefner Bldg, Salisbury, NC 28144 | 2012-05-23 |
| 1699041244 | Matthew Lewis Marshburn | Specialist/Technologist | 605 Grove Street, Salisbury, NC 28144 | 2012-03-28 |
| Find all providers in zip 28144 | ||||
| Taxonomy Code | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497378855 | Champion Heart and Vascular Center, Oxford Pllc | Internal Medicine | 1614 Williamsboro Street, Oxford, NC 27565 | 2020-05-20 |
| 1508364886 | Cardiac Cin of Charlotte LLC | Internal Medicine | 15720 Brixham Hill Ave Ste 300c, Charlotte, NC 28277-4784 | 2018-01-31 |
| 1972001246 | Cardiac Cin of Raleigh LLC | Internal Medicine | 555 Fayetteville St Ste 201-279, Raleigh, NC 27601-3030 | 2018-01-31 |
| 1568973360 | Novant Medical Group Inc. | Internal Medicine | 1622 Highwoods Blvd Unit G105, Greensboro, NC 27410 | 2017-10-19 |
| 1174965826 | Valley Cardiology, Pa | Internal Medicine | 6562 Stone Mountain Farm Rd, Fayetteville, NC 28311-1183 | 2013-07-23 |
| 1477839108 | Caldwell Memorial Hospital, Inc | Internal Medicine | 401 Mulberry St Sw Ste 207, Lenoir, NC 28645-5463 | 2011-10-26 |
| 1700184108 | Richard Sean Stack | Internal Medicine | 1414 Raleigh Rd Ste 415, Chapel Hill, NC 27517-8834 | 2011-03-09 |
| 1114171634 | Novant Medical Group, Inc. | Internal Medicine | 125 Baldwin Avenue, Suite 200, Charlotte, NC 28204-3370 | 2008-11-11 |
| 1043433634 | Presbyterian Regional Healthcare Laboratory Services LLC | Internal Medicine | 1851 E 3rd St, Charlotte, NC 28204-3205 | 2007-04-11 |
| 1740395029 | Damian Brezinski | Internal Medicine | 1328 Lake Park Blvd N, Ste 103, Carolina Beach, NC 28428-3906 | 2006-08-20 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MR. KARTIK SHATAGOPAM.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.