Individual
NICHOLAS VIGYAN LATCHANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
125 QUEENS RD STE 430, CHARLOTTE, NC 28204-3215
(980) 302-6300
(980) 302-6305
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2019-01172
NC
Other
Enumeration date
06/22/2010
Last updated
10/30/2023
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