Individual provider · Type 1 NPI

Vidya Venkat, PA

Physician Assistant · Charlotte, NC

NPI number 1104035476 Active

Practice location

10810 Mallard Creek Rd
Charlotte, NC 28262-9786

Call (704) 510-8000 Map

Fax (704) 510-8006

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Other practice locations

  • 2709 Water Ridge Pkwy, Building 5, Suite 500, Charlotte, NC 28217-4596 · (704) 446-9173
  • 1000 Blythe Blvd, Charlotte, NC 28203-5812 · (704) 355-2171

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X0010-01576 (NC)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1104035476

Vidya Venkat, PA's National Provider Identifier is 1104035476, issued on May 22, 2007. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Charlotte, NC. The record was last updated on Dec 14, 2023.