Individual
PAVAN ANGADI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3506 W TYVOLA RD, CHARLOTTE, NC 28208-7201
(704) 329-1300
Mailing address
3506 W TYVOLA RD, CHARLOTTE, NC 28208-7201
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD2019-0098
NM
390200000X
Student in an Organized Health Care Education/Training Program
RS2015-0387
NM
Other
Enumeration date
04/07/2015
Last updated
10/21/2019
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