Individual
PAWAN DAMODHAR SARDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1640 E ROOSEVELT BLVD, MONROE, NC 28112-4017
(704) 226-0500
(704) 226-0599
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 226-0500
(704) 226-0599
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
258620
NY
207RC0000X
Cardiovascular Disease Physician
036136434
IL
207RC0000X
Cardiovascular Disease Physician
Primary
2022-01039
NC
207RC0000X
Cardiovascular Disease Physician
258620
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036136434
LICENSE
IL
Enumeration date
09/14/2010
Last updated
08/12/2025
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