Individual
CHANDRASEKHAR KOTHAGUNDLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
10030 GILEAD RD, HUNTERSVILLE, NC 28078-7545
(704) 316-3789
(704) 316-6785
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 316-3789
(704) 316-6785
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
27509
NE
208M00000X
Hospitalist Physician
Primary
2021-03349
NC
Other
Enumeration date
08/25/2010
Last updated
06/14/2023
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