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KANCHAN PURANIK MCMAHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
3250 FREEDOM DR, CHARLOTTE, NC 28208-2817
(704) 659-0645
Mailing address
1612 APPALOOSA WAY, GASTONIA, NC 28056-0316
(704) 616-3589
(704) 671-7678

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
36583
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8945720
NC
Enumeration date
01/03/2006
Last updated
12/24/2020
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