Boppana, Haritha

Boppana, Haritha is an individual health care provider with primary practice located at 701 Grove Rd Fl 5 , Greenville SC 29605. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Boppana, Haritha can be contacted via phone (864) 455-4411.

Contact Information

Primary practice address
701 Grove Rd Fl 5 Greenville SC 29605
Phone: (864) 455-4411
Fax: (864) 455-4480
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 32786 South Carolina
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 32786 South Carolina

Profile Details

NPI number 1750386454
LBN Legal business name Boppana, Haritha
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2005
Last updated Oct 26th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750386454 NPPES
South Carolina MEDICAID 327863
South Carolina MEDICAID 89138C7

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