Individual
SONAL GURUPRASAD VIJAYANAGAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1000 BLYTHE BLVD, CHARLOTTE, NC 28203-5812
(704) 446-4066
Mailing address
6665 JACKSON FIELDS CT, CENTREVILLE, VA 20121-6218
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2025-01630
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/01/2020
Last updated
07/08/2025
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