Individual
DR. MALINI FONSEKA CHANDRA SERHARAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
2460 CURTIS ELLIS DR, ROCKY MOUNT, NC 27804-2237
(252) 962-8000
Mailing address
PO BOX 603949, CHARLOTTE, NC 28260-3949
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2018-01800
NC
208M00000X
Hospitalist Physician
2018-01800
NC
282N00000X
General Acute Care Hospital
P31334
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1497131353
—
NC
Enumeration date
08/03/2015
Last updated
06/11/2024
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