MEDICARE: KRITHEEKA KALATHIL

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
1	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1912602442
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KRITHEEKA KALATHIL

Provider Business Mailing Address
First Line	:	501 BILLINGSLEY RD
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28211-1009
Country	:	US
Telephone Number	:	704-444-2400
Fax Number	:

Provider Business Practice Location Address
First Line	:	501 BILLINGSLEY RD
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28211-1009
Country	:	US
Telephone Number	:	704-444-2400
Fax Number	:	704-358-2516

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/03/2023
Last Update Date	:	05/27/2026

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Directions to “ KRITHEEKA KALATHIL ” Practice Location

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