Individual
REEMA PURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6030 W HIGHWAY 74, STE F, INDIAN TRAIL, NC 28079-3468
(980) 993-7400
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2005-01649
NC
Other
Enumeration date
07/12/2006
Last updated
07/15/2024
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