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

Poojitha Malli Goud Memula, PA

Individual provider Physician Assistant · NPI 1174102883

Poojitha Malli Goud Memula, PA is a Physician Assistant in Charlotte, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2021
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1750 Camden Rd Apt 520
Charlotte, NC 28203-6571
Phone: (803) 292-5335
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X (NC)

Record details

NPI number1174102883
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorYes
NPI enumeratedApril 8, 2021
Last updated in NPPESJune 7, 2023
Certification dateJune 7, 2023

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