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NPI Code Detail

MEDICARE: VICTORIA MALDONADO ROTHWELL MD

MEDICARE: VICTORIA MALDONADO ROTHWELL MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RG0100XGastroenterology Physician2020-00227NC
2390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1316365067
Entity Type Code : Individual
Provider Name (Legal Business Name) : VICTORIA MALDONADO ROTHWELL MD
Provider Business Mailing Address
First Line : 3426 TORINGDON WAY STE 108
Second Line :
City : CHARLOTTE
State : NC
Zip : 28277-3497
Country : US
Telephone Number : 704-372-7974
Fax Number : 704-372-8201
Provider Business Practice Location Address
First Line : 300 BILLINGSLEY RD STE 200
Second Line :
City : CHARLOTTE
State : NC
Zip : 28211-1180
Country : US
Telephone Number : 704-372-7974
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/31/2014
Last Update Date : 01/13/2026

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Directions to “ VICTORIA MALDONADO ROTHWELL MD” Practice Location

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