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NPI Code Detail

MEDICARE: CYRIL BOBBY MAZHUVANCHERY DO

MEDICARE: CYRIL BOBBY MAZHUVANCHERY DO
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
1207R00000XInternal Medicine Physician2025-00807NC
2207RG0100XGastroenterology Physician2025-00807NC

General Provider Information

NPI Number : 1457843757
Entity Type Code : Individual
Provider Name (Legal Business Name) : CYRIL BOBBY MAZHUVANCHERY DO
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 : 704-970-4746
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 : 704-372-8201
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2018
Last Update Date : 01/13/2026

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Directions to “ CYRIL BOBBY MAZHUVANCHERY DO” Practice Location

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