Dr. Kathy Garland Mohanty
Pediatrician
6324 Fairview Rd Ste 350
Charlotte
, North Carolina 28210-0095
Dr. Kathy Garland Mohanty
Pediatrician
6324 Fairview Rd Ste 350
Charlotte
, North Carolina 28210-0095
(704) 384-7830
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About
Features
Specialties
- Pediatrician
Languages spoken
- English
Location
First Address
- Dr. Kathy Garland Mohanty
- Po Box 60447
- Charlotte, NC
- Zip : 28260-0447
- Fax : (704) 384-7830
- Phone : (704) 384-7840
Second Address
- Dr. Kathy Garland Mohanty
- 6324 Fairview Rd Ste 350
- Charlotte, NC
- Zip : 28210-0095
- Fax : (704) 384-8610
- Phone : (704) 384-8600
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208000000X | Pediatrician | 200100746 | NC |
National Provider Identifier
| NPI | 1003835398 |
|---|---|
| Provider Name | Dr. Kathy Garland Mohanty |
| First Address | Charlotte, NC 28260-0447 |
| Second Address | Charlotte, NC 28210-0095 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/07/2006 |
| Last Update Date | 11/11/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 129NC | BCBS PROVIDER # (01) | NC |
| 89129NC | (05) | NC |
| H37330 | (02) | NC |
| N0074C | (05) | SC |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.