Provider Demographics
NPI:1376706390
Name:WROBLEWSKA-SHAH, JOANNA MONIKA (MD)
Entity Type:Individual
Prefix:DR
First Name:JOANNA
Middle Name:MONIKA
Last Name:WROBLEWSKA-SHAH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9735 KINCEY AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:HUNTERSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28078-9118
Mailing Address - Country:US
Mailing Address - Phone:704-500-2332
Mailing Address - Fax:888-511-8009
Practice Address - Street 1:9735 KINCEY AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:HUNTERSVILLE
Practice Address - State:NC
Practice Address - Zip Code:28078-9118
Practice Address - Country:US
Practice Address - Phone:704-500-2332
Practice Address - Fax:888-511-8009
Is Sole Proprietor?:No
Enumeration Date:2008-07-09
Last Update Date:2018-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2010-01197207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine