Provider Demographics
NPI:1639174295
Name:CHARANIA, AMIN (MD)
Entity Type:Individual
Prefix:DR
First Name:AMIN
Middle Name:
Last Name:CHARANIA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 COPPERFIELD BLVD NE
Mailing Address - Street 2:SUITE 124
Mailing Address - City:CONCORD
Mailing Address - State:NC
Mailing Address - Zip Code:28025-2453
Mailing Address - Country:US
Mailing Address - Phone:704-782-6868
Mailing Address - Fax:704-782-7585
Practice Address - Street 1:1000 COPPERFIELD BLVD NE
Practice Address - Street 2:SUITE 124
Practice Address - City:CONCORD
Practice Address - State:NC
Practice Address - Zip Code:28025-2453
Practice Address - Country:US
Practice Address - Phone:704-782-6868
Practice Address - Fax:704-782-7585
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-20
Last Update Date:2012-12-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC98-01618207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC891158GMedicaid
NC891158GMedicaid
NC2261775BMedicare PIN