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Organization

UNITED MEDICAL CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RAMANATHAN PRAKASH MD (OWNER)
(704) 792-9150
Entity
Organization

Contact information

Practice address
235 BRANCHVIEW DR, STE D, CONCORD, NC 28025
(704) 792-9150
(704) 784-4440
Mailing address
PO BOX 3191, CONCORD, NC 28025
(704) 792-9150
(704) 784-4440

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
9600688
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
9600688
LICENSE #
NC
Enumeration date
08/08/2006
Last updated
08/22/2020
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