Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0214X | Pediatric Pulmonologist | 2018-01142 | NC |
NPI | 1326231481 |
---|---|
Provider Name | Dharmeshkumar Suratwala |
First Address | Charlotte, NC 28219-9305 |
Second Address | Charlotte, NC 28211-4297 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/08/2007 |
Last Update Date | 05/01/2022 |