Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 2009-01095 | NC |
N | 111NI0900X | Internist | 2009-01095 | NC |
Y | 207RC0200X | Critical Care Medicine | 2009-01095 | NC |
N | 207RP1001X | Pulmonary Disease | 2009-01095 | NC |
N | 207RS0012X | Sleep Medicine | 2009-01095 | NC |
NPI | 1023025814 |
---|---|
Provider Name | Sachin Hansalia |
First Address | Charlotte, NC 28260-0447 |
Second Address | Charlotte, NC 28207-1122 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/08/2006 |
Last Update Date | 28/10/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
5913475 | (05) | NC |
NC1050 | (05) | SC |