Individual
SAI PRASANNA VANAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8201 HEALTHCARE LOOP, CHARLOTTE, NC 28215-7072
(980) 302-1000
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2025-00865
NC
207RC0000X
Cardiovascular Disease Physician
Primary
2025-00865
NC
Other
Enumeration date
05/18/2018
Last updated
08/27/2025
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