Organization
NOVANT MEDICAL GROUP, INC.
Active
Other names
Charlotte Internal Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DINESH S. PAI (VICE PRESIDENT)
(704) 384-9113
Entity
Organization
Contact information
Practice address
1701 ABBEY PL, CHARLOTTE, NC 28209-3733
(704) 384-1800
(704) 384-1830
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 384-7283
(704) 316-0508
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0271T
BCBS-NC
NC
05
—
890271T
—
NC
01
—
CC5118
RAILROAD MEDICARE
NC
Enumeration date
06/03/2006
Last updated
08/15/2008
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