Organization
NOVANT MEDICAL GROUP, INC.
Active
Other names
Southeast Children's Urology
Organization subpart
No
Provider details
NPI number
Authorized official
DINESH S PAI (VP OF OPERATIONS)
(704) 384-9104
Entity
Organization
Contact information
Practice address
16525 HOLLY CREST LN, SUITE 230, HUNTERSVILLE, NC 28078-4909
(704) 316-5140
(704) 316-5145
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 384-7840
(704) 384-7830
Taxonomy
Speciality
Code
Description
License number
State
2088P0231X
Pediatric Urology Physician
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
018J1
BCBS
NC
05
—
5904654
—
NC
05
—
NPB185
—
SC
Enumeration date
08/16/2006
Last updated
08/18/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us