Individual provider · Type 1 NPI

Vanitha Banajjar Revanasiddappa, MD

Obstetrics & Gynecology Physician · Charlotte, NC

NPI number 1669856217 Active

Practice location

1718 E 4th St Ste 907
Charlotte, NC 28204-3282

Call (704) 372-4000 Map

Fax (704) 334-4855

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Other practice locations

  • 797 W Childs Ave, Merced, CA 95341-6805 · (866) 682-4842
  • 1650 Grand Concourse, Dept Of Ob/gyn, Bronx, NY 10457-7606 · (718) 579-3992

Specialties and licenses

TaxonomyCodeLicense
Obstetrics & Gynecology Physician Primary 207V00000X2025-01298 (NC)
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Obstetrics & Gynecology Physician 207V00000XA162179 (CA)

Obstetrics & Gynecology Physician: An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

16 other providers at this address

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About NPI 1669856217

Vanitha Banajjar Revanasiddappa, MD's National Provider Identifier is 1669856217, issued on Jul 14, 2015. The primary taxonomy on file is Obstetrics & Gynecology Physician (207V00000X), and the practice location is in Charlotte, NC. The record was last updated on Oct 28, 2025.