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SOUTHPARK FUNCTIONAL MEDICINE PLLC
NPI 1275223638
Internal Medicine in Charlotte, NC

Active since May 10, 2023
5950 FAIRVIEW RD STE 406, CHARLOTTE, NC 28210(704) 560-3316 Get Directions Write a Review

NPPES record last updated: August 2, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Southpark Functional Medicine Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHPARK FUNCTIONAL MEDICINE PLLC (NPI 1275223638) is a healthcare organization registered as an internal medicine in Charlotte, North Carolina and active in the NPI registry since May 2023. The organization lists Sarita Mahtani, Physician, as its authorized official.

NPPES Registry Identity

NPI1275223638
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameSOUTHPARK FUNCTIONAL MEDICINE PLLC
Location Address5950 FAIRVIEW RD STE 406Charlotte, NC 28210-3113
Mailing Address5950 Fairview Rd Ste 406Charlotte, NC 28210-3113
Phone(704) 560-3316
Organization SubpartNo
Authorized OfficialSarita MahtaniPhysician · (704) 560-3316
Enumeration DateMay 10, 2023
Last NPPES UpdateAugust 2, 2023
NPPES CertifiedAugust 2, 2023
✔ NPI 1275223638 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
5950 FAIRVIEW RD STE 406, Charlotte, NC 28210
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SARITA M MAHTANI MD
Internal Medicine
5950 FAIRVIEW RD STE 406
CHARLOTTE, NC 28210
Mecklenburg County (704) 560-3316

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southpark Functional Medicine PLLC's NPI number?

The NPI number for Southpark Functional Medicine PLLC is 1275223638. It was assigned to this organization in the NPPES registry on May 10, 2023.

Where is Southpark Functional Medicine PLLC located?

Southpark Functional Medicine PLLC is located at 5950 Fairview Rd Ste 406, Charlotte, NC 28210. The listed phone number is (704) 560-3316.

What is Southpark Functional Medicine PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Southpark Functional Medicine PLLC was last updated on August 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.