Healthcare Provider Details

I. General information

NPI: 1326868498
Provider Name (Legal Business Name): UPLIFT HEALTH CAROLINAS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/14/2024
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16220 HARBOR HILL DR
CHARLOTTE NC
28273-0236
US

IV. Provider business mailing address

16220 HARBOR HILL DR
CHARLOTTE NC
28273-0236
US

V. Phone/Fax

Practice location:
  • Phone: 630-624-3112
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: BHUMIKA PATEL
Title or Position: NURSE PRACTITIONER
Credential:
Phone: 630-624-3112