| Summit Medical Carolinas Pllc | |
|
8430 Rea Rd Ste E Charlotte NC 28277-4231 | |
| (980) 443-6788 | |
| (980) 580-4749 |
| Full Name | Summit Medical Carolinas Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 8430 Rea Rd Ste E, Charlotte, North Carolina |
| Authorized Official Name and Position | Rajendra Kadari (OWNER/PHYSICIAN) |
| Authorized Official Contact | 7206449355 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Summit Medical Carolinas Pllc 9935d Rea Rd # 324 Charlotte NC 28277-6710 Ph: (980) 443-6788 | Summit Medical Carolinas Pllc 8430 Rea Rd Ste E Charlotte NC 28277-4231 Ph: (980) 443-6788 |
| NPI Number | 1518697127 |
|---|---|
| Provider Enumeration Date | 06/15/2022 |
| Last Update Date | 06/15/2022 |
| Medicare PECOS PAC ID | 4385010503 |
|---|---|
| Medicare Enrollment ID | O20221013000217 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518697127 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Pradeep Reddy Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255534343 PECOS PAC ID: 5294927398 Enrollment ID: I20101007000841 |
| Provider Name | Rajendra Kadari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598946675 PECOS PAC ID: 7315085792 Enrollment ID: I20221122001022 |
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