VIDYA VENKAT

CHARLOTTE, NC
NPI1104035476
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NC  0010-01576)
Enumeration Date2007-05-22
Last Update Date2023-12-14
Business Address
VIDYA VENKAT PA
10810 MALLARD CREEK RD
CHARLOTTE, NC 28262-9786
Phone number: 704-510-8000
Mailing Address
VIDYA VENKAT PA
PO BOX 60447
CHARLOTTE, NC 28260-0447
Phone number:
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