Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kodiak Medical PA

Organization Family Medicine Physician · NPI 1134872252

Kodiak Medical PA provides Family Medicine Physician services in Charlotte, North Carolina. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10926 David Taylor Dr Ste 120-105
Charlotte, NC 28262-1293
Phone: (888) 566-4201
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1134872252
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sachin Mody — Owner · (855) 837-8808
NPI enumeratedJanuary 28, 2022
Last updated in NPPESMay 20, 2022
Certification dateMay 20, 2022
Mailing address10926 David Taylor Dr Ste 120-105, Charlotte, NC 28262-1293

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