Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 41272 | IA |
N | 111NI0900X | Internist | 41272 | IA |
N | 207R00000X | Internist | LL31660 | SC |
N | 111NI0900X | Internist | LL31660 | SC |
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | 31660 | SC |
N | 207RC0000X | Internist - Cardiovascular Disease | 31660 | SC |
NPI | 1508093311 |
---|---|
Provider Name | Dr. Chakradhari Inampudi |
First Address | Charlotte, NC 28275-1461 |
Second Address | Charleston, SC 29425-1009 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/06/2009 |
Last Update Date | 10/10/2020 |