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Individual

DR. KASHYAP BHARAT KANSUPADA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
400 PARK ST, BELMONT, NC 28012-3368
(704) 295-3700
(704) 295-3707
Mailing address
6035 FAIRVIEW RD, CHARLOTTE, NC 28210-3256
(704) 295-3000

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
9600585
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000292730
UNISON HEALTH PLAN OF SC
SC
01
0841231
UNITED HEALTHCARE
NC
01
11496
DOCTORS HEALTH PLAN
NC
01
141025
COVENTRY
NC
01
15346
PARTNERS
NC
01
180033451
RAILROAD MEDICARE
01
19600
WELLPATH
NC
01
20087603
SELECT HEALTH OF SC
SC
01
20474
BCBS MEDPOINT
NC
01
25146
KANAWHA
NC
01
376555
MAMSI
NC
01
47737
BCBS
NC
01
5624177
AETNA
NC
01
65084
MEDCOST
NC
01
772572
WELLCARE
SC
01
8836828002
CIGNA
NC
05
8947737
NC
05
N00586
SC
Enumeration date
05/11/2006
Last updated
04/02/2021
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