Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RI0200X | Infectious Disease | 2013-01013 | NC |
NPI | 1033341565 |
---|---|
Provider Name | Dr. Anupama Matcha |
First Address | Oak Ridge, NC 27310-6604 |
Second Address | Oak Ridge, NC 27310-6604 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/08/2009 |
Last Update Date | 11/12/2020 |