Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | 2020-02444 | NC |
NPI | 1043751308 |
---|---|
Provider Name | Dr. Shruti Chandramouli |
First Address | Chapel Hill, NC 27599-7201 |
Second Address | Chapel Hill, NC 27517-8173 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/03/2017 |
Last Update Date | 19/05/2020 |