Individual
SHWETHA MALLESARA SUDHAKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1025 MOREHEAD MEDICAL DR, SUITE 500, CHARLOTTE, NC 28204-2963
(704) 446-2320
Mailing address
1025 MOREHEAD MEDICAL DR, CHARLOTTE, NC 28204-2963
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
2015-01296
NC
Other
Enumeration date
08/07/2009
Last updated
02/12/2019
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