Healthcare Provider Details

I. General information

NPI: 1801703723
Provider Name (Legal Business Name): DINUSHI FELDMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/26/2026
Last Update Date: 08/26/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1040 VINEHAVEN DR NE
CONCORD NC
28025-2438
US

IV. Provider business mailing address

14045 OLD VERMILLION DR
HUNTERSVILLE NC
28078-5347
US

V. Phone/Fax

Practice location:
  • Phone: 704-784-1010
  • Fax:
Mailing address:
  • Phone: 610-710-1074
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number5025312
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: