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 is a Family Medicine Physician 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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