Igor Shorokhov

NPI #1225681042 in Charlotte, North Carolina

Provider Information

NPI Number: 1225681042
Entity Type: Individual
Name: Igor Shorokhov
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Private Vehicle
Enumeration Date: Jul 21, 2019
Last Updated: Jul 21, 2019

Practice Location

Address: 8516 DIANTHUS CT UNIT 204
City: Charlotte
State: North Carolina
ZIP Code: 28277-3989
Phone: (440) 313-9246

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Bus	347B00000X
Private Vehicle	347C00000X	Primary

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