Individual
KRISHNAMOHAN R BADDIGAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 PROVIDENCE RD, SUITE 101, CHARLOTTE, NC 28207-1407
(704) 749-5800
(704) 749-5819
Mailing address
200 PROVIDENCE RD, SUITE 101, CHARLOTTE, NC 28207-1407
(704) 749-5800
(704) 749-5819
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
2009-01794
NC
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
2009-01794
NC
208VP0000X
Pain Medicine Physician
2009-01794
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5913791
—
NC
Enumeration date
09/15/2006
Last updated
06/17/2013
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