Healthcare Provider Details

I. General information

NPI: 1174787428
Provider Name (Legal Business Name): PADMAJA VEERAMREDDY MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/16/2008
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1456 STERLING RD
CHARLOTTE NC
28209-1544
US

IV. Provider business mailing address

1456 STERLING RD
CHARLOTTE NC
28209-1544
US

V. Phone/Fax

Practice location:
  • Phone: 704-773-6580
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number2016-00278
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number2016-00278
License Number StateNC
# 3
Primary TaxonomyN
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number95623
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: