Garimella, Sudha
Garimella, Sudha is an individual health care provider with primary practice located at 200 Patewood Dr Suite A115, Greenville SC 29615-3593. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Nephrology. Allopathic & Osteopathic Physicians / Pediatric Nephrology is her primary health care specialty. Garimella, Sudha can be contacted via phone (864) 454-5105.Contact Information
Primary practice address
200 Patewood Dr Suite A115
Greenville SC 29615-3593
Phone: (864) 454-5105
Fax: (864) 241-9200
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 002489 | New York |
Allopathic & Osteopathic Physicians / Pediatric Nephrology | 2080P0210X | 002489 | New York |
Allopathic & Osteopathic Physicians / Pediatric Nephrology | 2080P0210X | 40282 | South Carolina |
Profile Details
NPI number | 1558325407 |
---|---|
LBN Legal business name | Garimella, Sudha |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 15th, 2006 |
Last updated | Dec 22nd, 2016 - about 8 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1558325407 | NPPES |
Other | 060321000050 | FIDELIS | |
Other | 000528365002 | FIDELIS | |
Other | 000528365001 | FIDELIS | |
MEDICAID | 02722645 | FIDELIS | |
Other | 00027438501 | FIDELIS | |
Other | 1213131 | FIDELIS |
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