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1851454995
SHIRISH D DEVASTHALI
FAYETTEVILLE, NC
NPI
1851454995
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RH0003X Internal Medicine, Hematology & Oncology
(Licence: NC 38929)
Enumeration Date
2006-12-19
Last Update Date
2014-07-10
Business Address
Dr. SHIRISH D DEVASTHALI M.D.
6387 RAMSEY ST SUITE 140
FAYETTEVILLE, NC 28311-9441
Phone number: 910-615-3829
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Mailing Address
Dr. SHIRISH D DEVASTHALI M.D.
1638 OWEN DR
FAYETTEVILLE, NC 28304-3424
Phone number: 910-615-6949
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