Individual
MADHAV REDDY MUPPA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
200 HAWTHORNE LN, CHARLOTTE, NC 28204-2515
(704) 384-1246
(704) 384-1249
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 384-1246
(704) 384-1249
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
2015-02328
NC
2084P0804X
Child & Adolescent Psychiatry Physician
MD445177
PA
Other
Enumeration date
07/31/2007
Last updated
10/25/2020
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