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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

VIDYA VENKAT, PA

Active

VIDYA VENKAT, PA is a Physician Assistant healthcare provider located in CHARLOTTE, North Carolina. NPI 1104035476 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · CHARLOTTE, NC

Registration Details

NPI Number
1104035476
Provider Type
Individual
Gender
Female
NPI Issued
May 22, 2007 (19.251909421273 yrs)
Last Updated
Dec 14, 2023
License
0010-01576 (NC)

Practice Information

Address
10810 MALLARD CREEK RD
CHARLOTTE, NC, 282629786
Browse NC providers · Browse ZIP 28262
Phone
7045108000
Fax
7045108006
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in CHARLOTTE, NC

Name Credential NPI
MRS. JENNIFER MARIE HULL PA-C 1437154093
MS. JENNIFER ANN FARRES PA-C 1598763054
LAWRENCE HENRY BRACCIA PA-C 1700885514
MR. JONATHAN ROBERT BALTZELL PA-C 1457350258
KEVIN ROLANDO WILLIAMS PA 1053312082
MRS. KELLY L. STAFFORD PA-C 1184626806
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.