Healthcare Provider Details

I. General information

NPI: 1528369543
Provider Name (Legal Business Name): RAJAT DHUNGANA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/08/2010
Last Update Date: 10/28/2025
Certification Date: 10/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9930 KINCEY AVE STE 200
HUNTERSVILLE NC
28078-6541
US

IV. Provider business mailing address

PO BOX 60447
CHARLOTTE NC
28260-0447
US

V. Phone/Fax

Practice location:
  • Phone: 704-887-4530
  • Fax: 704-887-4531
Mailing address:
  • Phone: 704-887-4530
  • Fax: 704-887-4531

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number2022-01745
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberMD19677
License Number StateME
# 3
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number2022-01745
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: