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NPI Code Detail

MEDICARE: ADIT S MAHALE MD

MEDICARE:   ADIT S MAHALE  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RN0300XNephrology Physician9644ND
2207RN0300XNephrology Physician2017-02577NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12017-02577OTHERNCNC LICENSE

General Provider Information

NPI Number : 1144247750
Entity Type Code : Individual
Provider Name (Legal Business Name) : ADIT S MAHALE MD
Provider Business Mailing Address
First Line : PO BOX 37938
Second Line :
City : CHARLOTTE
State : NC
Zip : 28237-7938
Country : US
Telephone Number : 704-731-6949
Fax Number : 704-971-0035
Provider Business Practice Location Address
First Line : 3158 FREEDOM DR STE 3101
Second Line :
City : CHARLOTTE
State : NC
Zip : 28208-0014
Country : US
Telephone Number : 704-348-2992
Fax Number : 704-791-0035
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/17/2006
Last Update Date : 03/27/2025

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Directions to “ ADIT S MAHALE MD” Practice Location

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