NPI: 1053953125 · CHARLOTTE, NC 28206 · General Practice Physician · NPI assigned 10/10/2019
| Authorized Official | JEGANATTH, BARANY (FOUNDER, GENERAL MANAGER) |
| NPI Enumeration Date | 10/10/2019 |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 13 | $948.20 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99492 | 13 | 12 | $948.20 |