Pudi, Krishna Kumar

Pudi, Krishna Kumar is an individual health care provider with primary practice located at 110 Hospital Dr # A , Simpsonville SC 29681-3226. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Pudi, Krishna Kumar can be contacted via phone (864) 963-9090.

Contact Information

Primary practice address
110 Hospital Dr # A Simpsonville SC 29681-3226
Phone: (864) 963-9090
Fax: (864) 962-0610
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 19077 South Carolina

Profile Details

NPI number 1255443305
LBN Legal business name Pudi, Krishna Kumar
Credentials MD PA
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Jul 8th, 2007 - about 17 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 1255443305 NPPES
South Carolina MEDICAID GP2876

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