Individual
RAJITHA AMBATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2555 COURT DR, SUITE 270, GASTONIA, NC 28054-2134
(704) 834-4390
(704) 834-3274
Mailing address
2555 COURT DR, SUITE 270, GASTONIA, NC 28054-2134
(704) 834-4390
(704) 834-3274
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2015-01926
NC
207R00000X
Internal Medicine Physician
35.091454
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1366601262
—
NC
Enumeration date
06/05/2008
Last updated
10/21/2016
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