Provider Demographics
NPI:1700960168
Name:PAI, SUHAS (MD)
Entity Type:Individual
Prefix:DR
First Name:SUHAS
Middle Name:
Last Name:PAI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:237 PARK VIEW DR
Mailing Address - Street 2:
Mailing Address - City:BELMONT
Mailing Address - State:NC
Mailing Address - Zip Code:28012-2984
Mailing Address - Country:US
Mailing Address - Phone:843-860-3904
Mailing Address - Fax:
Practice Address - Street 1:2555 COURT DR
Practice Address - Street 2:SUITE 400
Practice Address - City:GASTONIA
Practice Address - State:NC
Practice Address - Zip Code:28054-2180
Practice Address - Country:US
Practice Address - Phone:704-864-5550
Practice Address - Fax:704-864-7448
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-24
Last Update Date:2009-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC200701141207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC5907792Medicaid
NC2021779Medicare PIN