MEDICARE: CABARRUS RHEUMATOLOGY CLINIC

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
1	207RR0500X	Rheumatology Physician		NC

General Provider Information

NPI Number	:	1376572040
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CABARRUS RHEUMATOLOGY CLINIC

Provider Business Mailing Address
First Line	:	9714 HILLSPRING DR
Second Line	:
City	:	HUNTERSVILLE
State	:	NC
Zip	:	28078-2620
Country	:	US
Telephone Number	:	704-438-0465
Fax Number	:

Provider Business Practice Location Address
First Line	:	478 COPPERFIELD BLVD NE
Second Line	:
City	:	CONCORD
State	:	NC
Zip	:	28025-2404
Country	:	US
Telephone Number	:	704-786-1170
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. RAJANI RELANGI
Credential	:	MD
Telephone Number	:	704-786-1170

Provider Enumeration Date	:	07/03/2006
Last Update Date	:	08/22/2020

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