Individual
PHANI MOHAN VUPADHYAYULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
612 MOCKSVILLE AVE, SALISBURY, NC 28144-2732
(704) 210-5260
(704) 210-5265
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2013-01115
NC
207R00000X
Internal Medicine Physician
40598
SC
208M00000X
Hospitalist Physician
Primary
2013-01115
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40598
SC MEDICAL LICENSE
SC
05
—
NC1962
—
SC
Enumeration date
10/17/2008
Last updated
02/24/2026
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