Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | 2020-03037 | NC |
N | 207RC0000X | Internist - Cardiovascular Disease | 84091 | SC |
NPI | 1023240132 |
---|---|
Provider Name | Rajiv Paudel |
First Address | Charlotte, NC 28219-9305 |
Second Address | Monroe, NC 28112-5086 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/08/2009 |
Last Update Date | 20/01/2021 |