Individual
DR. GIRISH SOMASHEKHAR MUNAVALLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1918 RANDOLPH RD, SUITE 550, CHARLOTTE, NC 28207-1100
(704) 375-6766
(704) 332-6552
Mailing address
1918 RANDOLPH RD, SUITE 550, CHARLOTTE, NC 28207-1100
(704) 375-6766
(410) 666-3981
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
200400240
NC
207NS0135X
Procedural Dermatology Physician
200400240
NC
Other
Enumeration date
11/22/2005
Last updated
09/25/2012
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