Provider Demographics
NPI:1518697127
Name:SUMMIT MEDICAL CAROLINAS PLLC
Entity Type:Organization
Organization Name:SUMMIT MEDICAL CAROLINAS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:RAJENDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:KADARI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:720-644-9355
Mailing Address - Street 1:9935D REA RD # 324
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28277-6710
Mailing Address - Country:US
Mailing Address - Phone:980-443-6788
Mailing Address - Fax:980-580-4749
Practice Address - Street 1:8430 REA RD STE E
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28277-4231
Practice Address - Country:US
Practice Address - Phone:980-443-6788
Practice Address - Fax:980-580-4749
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-15
Last Update Date:2022-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty