Individual
ROSS JOSEPH BELLAVIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
700 E MOREHEAD ST, STE 300, CHARLOTTE, NC 28202-2788
(704) 334-7800
(704) 414-7512
Mailing address
700 E MOREHEAD ST, STE 300, CHARLOTTE, NC 28202-2788
(704) 334-7800
(704) 414-7512
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
200100214
NC
2085R0202X
Diagnostic Radiology Physician
22638
SC
2085R0204X
Vascular & Interventional Radiology Physician
200100214
NC
2085R0204X
Vascular & Interventional Radiology Physician
22638
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
300121208
RR MEDICARE NC
NC
05
—
89128TW
—
NC
05
—
N00216
—
SC
Enumeration date
06/13/2005
Last updated
12/20/2017
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