Healthcare Provider Details

I. General information

NPI: 1174868368
Provider Name (Legal Business Name): DOCTORS PLUS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/29/2012
Last Update Date: 11/03/2022
Certification Date: 11/03/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

205 BRANCHVIEW DR NE
CONCORD NC
28025-3416
US

IV. Provider business mailing address

205 BRANCHVIEW DR NE
CONCORD NC
28025-3416
US

V. Phone/Fax

Practice location:
  • Phone: 704-440-4689
  • Fax: 704-956-2193
Mailing address:
  • Phone: 704-440-4689
  • Fax: 704-956-2193

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207PE0004X
TaxonomyEmergency Medical Services (Emergency Medicine) Physician
License Number2007-00071
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number2007-00071
License Number StateNC
# 3
Primary TaxonomyN
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code3336C0002X
TaxonomyClinic Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: DR. DENNIS SEETAL PERSAUD
Title or Position: OWNER
Credential: M.D.
Phone: 704-440-4689