Individual
MRS. NAGAMALA CHALASANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
200 HAWTHORNE LN, CHARLOTTE, NC 28204-2515
(704) 384-5416
(704) 384-5992
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 384-5416
(704) 384-5992
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2013-00220
NC
207R00000X
Internal Medicine Physician
239583
MA
208M00000X
Hospitalist Physician
Primary
2013-00220
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1740487537
NETWORK HEALTH
MA
01
—
J46234
BC/BS OF MASSACHUSETTS
MA
01
—
MC0756936A
MASS. CONTROLLED SUBSTANCE
MA
Enumeration date
06/27/2007
Last updated
03/07/2023
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