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

GONZALO A WALLIS, MD

Active

GONZALO A WALLIS, MD is a Pediatric Cardiology healthcare provider located in CHARLOTTE, North Carolina. NPI 1417179078 is currently active in the NPPES registry. Verify at CMS.

Pediatric Cardiology · CHARLOTTE, NC

Registration Details

NPI Number
1417179078
Provider Type
Individual
Gender
Male
NPI Issued
May 3, 2007 (19.299535703098 yrs)
Last Updated
Jul 15, 2024
Licenses
2013-02269 (NC)
2013-02269 (NC)

Practice Information

Address
1001 BLYTHE BLVD
STE 500
CHARLOTTE, NC, 282035866
Browse NC providers · Browse ZIP 28203
Phone
7043731813
Primary Specialty
Pediatric Cardiology
2080P0202X
Additional Specialty
Pediatric Cardiology

Other Pediatric Cardiology Providers in CHARLOTTE, NC

Name Credential NPI
RANDALL MELVIN BRYANT MD 1760451868
AHMET RESAI BENGUR MD 1689616997
DAVID P. OHMSTEDE MD 1407882368
ANDREW S. BENSKY MD 1659387280
DONALD AIME RIOPEL M.D. 1740290345
NICHOLAS BERNARD SLIZ JR. MD 1801806344
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.