Basic Information
Provider Information
NPI: 1902844863
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: KAMDAR
FirstName: APUR
MiddleName: R
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 60447
Address2:  
City: CHARLOTTE
State: NC
PostalCode: 282600447
CountryCode: US
TelephoneNumber: 7043439800
FaxNumber: 7043472011
Practice Location
Address1: 911 W HENDERSON ST
Address2: SUITE 230
City: SALISBURY
State: NC
PostalCode: 281442736
CountryCode: US
TelephoneNumber: 7046339620
FaxNumber: 7046337504
Other Information
ProviderEnumerationDate: 06/03/2006
LastUpdateDate: 10/25/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 09/06/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X35-084407OHN Allopathic & Osteopathic PhysiciansInternal Medicine 
207RC0000X2009-00194NCN Allopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
207RI0011X2009-00194NCY Allopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology

ID Information
IDTypeStateIssuerDescription
591170705NC MEDICAID
248924905OH MEDICAID


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