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Individual

DR. VANDANA RAGHUPATH MINNAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
135 S SHARON AMITY RD, SUITE 100, CHARLOTTE, NC 28211-2842
(917) 434-3651
Mailing address
PO BOX 60160, CHARLOTTE, NC 28260-0160
(704) 365-0555
(704) 367-8122

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
201401260
NC
207WX0009X
Glaucoma Specialist (Ophthalmology) Physician
2014-01460
NC

Other

Enumeration date
04/20/2009
Last updated
03/31/2022
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