Individual
ABHAY KOMMANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1918 RANDOLPH RD STE 275, CHARLOTTE, NC 28207-1109
(704) 384-1354
(704) 384-1374
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2024-02345
NC
207Q00000X
Family Medicine Physician
5151014994
MI
Other
Enumeration date
05/19/2021
Last updated
02/10/2026
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