Provider Demographics
NPI:1619063724
Name:WHEELER, NAMRATA PAI (MD)
Entity Type:Individual
Prefix:
First Name:NAMRATA
Middle Name:PAI
Last Name:WHEELER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 60447
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28260-0447
Mailing Address - Country:US
Mailing Address - Phone:704-542-5227
Mailing Address - Fax:
Practice Address - Street 1:8169 ARDREY KELL RD
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28277-5717
Practice Address - Country:US
Practice Address - Phone:704-542-5540
Practice Address - Fax:704-542-5227
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2020-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2012-01579208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics