GLENCORA KHEIREDDINE MD – NPI #1295864379
Internal Medicine

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.

GLENCORA KHEIREDDINE is a physician located in CHARLOTTE, NC. NPPES has assigned the NPI number 1295864379 to GLENCORA KHEIREDDINE on March 05, 2007. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207R00000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine.

The NPI profile was previously updated about 8 years ago on Sep 27, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GLENCORA KHEIREDDINE below.

NPI Profile for
GLENCORA KHEIREDDINE

NPI Number
1295864379
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
GLENCORA KHEIREDDINE
Credentials
MD
Primary location
6060 PIEDMONT ROW DR S FL 7
CHARLOTTE, NC 28287
Phone: (704) 489-3094 Fax:
1 Other location(s):
4525 Cameron Valley Pkwy
Suite 3100
Charlotte, NC 28211-4369
Phone: (704) 302-9300
Fax: (704) 302-9305
Mailing address
5950 FAIRVIEW RD STE 330
CHARLOTTE, NC 28210-2108
Phone: (704) 495-6334 Fax: (704) 817-7219
Sole Proprietor
Yes
Updated
Identifiers

Identifiers for GLENCORA KHEIREDDINE

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDNC5913167
MEDICAIDSCN0039D
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207R00000X
- Internal Medicine (Primary)
NC 134019

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.