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

Dr. Emmanuel John Botzolakis, MD, PHD

Individual provider Diagnostic Radiology Physician · NPI 1952612533

Dr. Emmanuel John Botzolakis, MD, PHD is a Diagnostic Radiology in Charlotte, North Carolina. Graduated from Vanderbilt University School of Medicine in 2010, 16 years ago. Practices with Mecklenburg Radiology Associates PA, a 94-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
16
Trained at
Vanderbilt University School of Medicine
Licensed in
NC
In the registry since
2010
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

3623 Latrobe Dr Ste 216
Charlotte, NC 28211
Phone: (704) 332-1291
Fax: (704) 332-5206
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 2017-01091 (NC)

Record details

NPI number1952612533
Entity typeIndividual (Type 1)
GenderMale
Credentials MD , PHD
Sole proprietorYes
NPI enumeratedJune 29, 2010
Last updated in NPPESSeptember 25, 2020
Certification dateSeptember 25, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolVANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Graduated 2010 (16 years in practice)
Group practice Mecklenburg Radiology Associates Pa — 94 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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