First Charlotte Physicians Randolph

LBN: Novant Medical Group, Inc.
First Charlotte Physicians Randolph is an health care organization with primary practice located at 1918 Randolph Rd Suite 350, Charlotte NC 28207-1100. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Novant Medical Group, Inc. can be contacted via phone (704) 384-1750, or through Pai, Dinesh S via phone (704) 384-9104.

Contact Information

Primary practice address
1918 Randolph Rd Suite 350 Charlotte NC 28207-1100
Phone: (704) 384-1750
Fax: (704) 384-1748
Website:
Map and Directions
Authorized official contact:
Name: Pai, Dinesh S
Phone: (704) 384-9104

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1457307365
LBN Legal business name Novant Medical Group, Inc.
DBA Doing business as First Charlotte Physicians Randolph
Authorized official Pai, Dinesh S
Entity Organization
Organization subpart 1 No
Enumeration date May 25th, 2006
Last updated Aug 15th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457307365 NPPES
North Carolina MEDICAID 890272V
North Carolina MEDICAID NPA902
North Carolina Other 0272V
North Carolina Other CC5118

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