Organization
NOVANT MEDICAL GROUP, INC.
Active
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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