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NPI Code Detail

MEDICARE: HEALTHY KIDZ

MEDICARE: HEALTHY KIDZ
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
1208000000XPediatrics Physician

General Provider Information

NPI Number : 1326785551
Entity Type Code : Organization
Provider Name (Legal Business Name) : HEALTHY KIDZ
Provider Business Mailing Address
First Line : 10410 PARK RD STE 100
Second Line :
City : CHARLOTTE
State : NC
Zip : 28210-6568
Country : US
Telephone Number : 704-540-6860
Fax Number : 704-659-4194
Provider Business Practice Location Address
First Line : 10410 PARK RD STE 100
Second Line :
City : CHARLOTTE
State : NC
Zip : 28210-6568
Country : US
Telephone Number : 704-540-6860
Fax Number : 704-659-4194
Authorized Official
Title or Position : MD
Name : POORNIMA BADDI
Credential : MD
Telephone Number : 573-891-9127
Provider Enumeration Date : 05/18/2022
Last Update Date : 05/21/2025

Similar Medicare Providers

1801870795 — NEETA KUKREJA M.D.
Practice Location Address:
10410 PARK RD
CHARLOTTE, NC
28210-6568
Practice Phone: 704-540-6860
Practice Fax:
1487800611 — POORNIMA BADDI MD
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1447606215 — CHANH HUYNH MD
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1538975636 — ATRIUM HEALTH SPECIALTY NETWORK INC
Practice Location Address:
10650 PARK RD
CHARLOTTE, NC
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1144658014 — MELISSA LEIGH LEMNAH PA-C
Practice Location Address:
10650 PARK RD , SUITE 320
CHARLOTTE, NC
28210
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Practice Fax:
1154833051 — STACY LAWYER
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Directions to “HEALTHY KIDZ ” Practice Location

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