Individual
SRIDEVI PADMANABHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
4525 CAMERON VALLEY PKWY, STE 4100, CHARLOTTE, NC 28211-4369
(704) 302-9462
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L007490
NC
Other
Enumeration date
09/08/2023
Last updated
07/15/2024
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