Individual
VIRANGA CHAMINDI PATHIRAJA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1900 RANDOLPH ROAD, SUITE 800, CHARLOTTE, NC 28207-1110
(704) 384-1246
(704) 384-6072
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 384-1246
(704) 384-6072
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
2012-02266
NC
390200000X
Student in an Organized Health Care Education/Training Program
156869
NC
Other
Enumeration date
05/25/2009
Last updated
10/25/2020
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