Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | 506 | NC |
NPI | 1023075470 |
---|---|
Provider Name | Ms. Chaitalee Vithal Kardani |
First Address | Charlotte, NC 28211-1040 |
Second Address | Charlotte, NC 28211-1040 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/04/2006 |
Last Update Date | 08/07/2007 |