Doris Mary Therese Philastre, MD
Student in an Organized Health Care Education/Training Program in Charlotte, NC. Individual provider (NPI-1).
Details
- NPI
- 1962348748
- Entity type
- Individual (NPI-1)
- Name
- Doris Mary Therese Philastre
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 25, 2026
- Certification date
- Jul 16, 2026
- Last updated
- Jul 16, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · ORDER AND REFERRING ONLY - PSYCHIATRY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
501 Billingsley RdCharlotte, NC 28211-1009
Phone 704-444-2400 · Fax 704-358-2516
Mailing address
1000 Blythe BlvdCharlotte, NC 28203-5812
Phone 704-358-2736
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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