Individual
AMEESHA PANDYA KANSUPADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6115 PARK SOUTH DR STE 100, CHARLOTTE, NC 28210-3281
(704) 554-8787
(704) 554-8774
Mailing address
2001 VAIL AVE, CHARLOTTE, NC 28207-1248
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
9600964
NC
Other
Enumeration date
08/05/2006
Last updated
06/08/2023
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