Individual
DR. TAMILARASI KANNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8420 UNIVERSITY EXEC PARK DR STE 850, CHARLOTTE, NC 28262-1308
(704) 384-1225
(704) 384-1226
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 384-1225
(704) 384-1226
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
9400866
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
894779A
—
NC
Enumeration date
02/15/2006
Last updated
06/15/2021
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