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1386694586

NPI Code Detail

MEDICARE: DR. KASHYAP BHARAT KANSUPADA MD

MEDICARE: DR. KASHYAP BHARAT KANSUPADA 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
1	207W00000X	Ophthalmology Physician	9600585	NC

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
5	180033451	OTHER		RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	376555	OTHER	NC	MAMSI
2	772572	OTHER	SC	WELLCARE
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	8836828002	OTHER	NC	CIGNA
6	20474	OTHER	NC	BCBS MEDPOINT
7	141025	OTHER	NC	COVENTRY
8	15346	OTHER	NC	PARTNERS
9	19600	OTHER	NC	WELLPATH
10	000000292730	OTHER	SC	UNISON HEALTH PLAN OF SC
11	20087603	OTHER	SC	SELECT HEALTH OF SC
12	5624177	OTHER	NC	AETNA
13	11496	OTHER	NC	DOCTORS HEALTH PLAN
14	25146	OTHER	NC	KANAWHA
15	47737	OTHER	NC	BCBS
16	65084	OTHER	NC	MEDCOST
17	0841231	OTHER	NC	UNITED HEALTHCARE
18	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1386694586
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KASHYAP BHARAT KANSUPADA MD

Provider Business Mailing Address
First Line	:	6035 FAIRVIEW RD
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28210-3256
Country	:	US
Telephone Number	:	704-295-3000
Fax Number	:

Provider Business Practice Location Address
First Line	:	400 PARK ST
Second Line	:
City	:	BELMONT
State	:	NC
Zip	:	28012-3368
Country	:	US
Telephone Number	:	704-295-3700
Fax Number	:	704-295-3707

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/11/2006
Last Update Date	:	04/02/2021

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Directions to “ DR. KASHYAP BHARAT KANSUPADA MD” Practice Location

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