National Provider Identifier Database

GONZALO A WALLIS, MD – NPI #1417179078
Pediatric Cardiology

A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.


Contact Information

GONZALO A WALLIS, MD
1001 BLYTHE BLVD
STE 500
CHARLOTTE, NC28203-5866
Phone: 704-373-1813
Fax:
Website:
Specialty Taxonomy Code
* Pediatric Cardiology 2080P0202X
Pediatrics 208000000X

* Indicates primary specialty

NPI Profile & details for GONZALO A WALLIS

NPI Number 1417179078
Credentials MD
Entity Individual
Enumeration date 05/03/2007
Last updated 07/15/2024 - More than a year ago
Sole proprietor1 No
Identifiers
  • NC License #: 2013-02269
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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