Provider Demographics
NPI:1225698368
Name:EDUPUGANTI, SUBHASH VENKATA SATYA (MD)
Entity type:Individual
Prefix:
First Name:SUBHASH
Middle Name:VENKATA SATYA
Last Name:EDUPUGANTI
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2025 CLEVELAND AVE APT 703
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28203-7078
Mailing Address - Country:US
Mailing Address - Phone:248-910-4682
Mailing Address - Fax:
Practice Address - Street 1:101 E W T HARRIS BLVD STE 5500
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28262-3485
Practice Address - Country:US
Practice Address - Phone:248-910-4682
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-20
Last Update Date:2025-07-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC2025-01029207RH0000X, 207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
No207RH0000XAllopathic & Osteopathic PhysiciansInternal MedicineHematology