Individual
KIRAN VENKATESH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 E W T HARRIS BLVD, STE 1213, CHARLOTTE, NC 28262-3485
(704) 863-1950
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2012-00564
NC
207RC0000X
Cardiovascular Disease Physician
2012-00564
NC
Other
Enumeration date
06/12/2009
Last updated
07/19/2024
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