Dr Michael M Samiratedu, DO | |
3815 Faber Place Dr, North Charleston, SC 29405-8533 | |
(843) 767-9312 | |
(843) 767-9313 |
Full Name | Dr Michael M Samiratedu |
---|---|
Gender | Male |
Speciality | Internal Medicine - Nephrology |
Location | 3815 Faber Place Dr, North Charleston, South Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750801288 | NPI | - | NPPES |
838260 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RN0300X | Internal Medicine - Nephrology | DO83825 (South Carolina) | Primary |
Entity Name | Charleston Nephrology Associates Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629054960 PECOS PAC ID: 9638138209 Enrollment ID: O20041008000278 |
Mailing Address | Practice Location Address |
---|---|
Dr Michael M Samiratedu, DO 3815 Faber Place Dr, North Charleston, SC 29405-8533 Ph: (843) 767-9312 | Dr Michael M Samiratedu, DO 3815 Faber Place Dr, North Charleston, SC 29405-8533 Ph: (843) 767-9312 |
David Anthony Florez, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 2671 Elms Plantation Blvd, North Charleston, SC 29406 Phone: 843-797-6800 Fax: 843-797-6825 | |
Dr. Charles Dudley Graham, MD Nephrology Medicare: Not Enrolled in Medicare Practice Location: 2910 Tricom St, North Charleston, SC 29406 Phone: 843-572-9211 Fax: 843-572-0457 | |
Jenny Mccallister Riley, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 9313 Medical Plaza Dr Ste 103, North Charleston, SC 29406 Phone: 843-790-8280 Fax: 843-974-8500 | |
Dr. Daniel Alden Williams, MD Nephrology Medicare: Medicare Enrolled Practice Location: 8992 University Blvd Fl 3, North Charleston, SC 29406 Phone: 843-792-1414 | |
Dr. Ashley Abide Jeter, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 2910 Tricom St, North Charleston, SC 29406 Phone: 843-572-9211 Fax: 843-572-0458 | |
Dr. Darren S Sidney, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 9221 University Blvd, Suite 102, North Charleston, SC 29406 Phone: 843-576-0700 Fax: 843-576-0701 | |
Kevin Michael Smith, MD Nephrology Medicare: Medicare Enrolled Practice Location: 9330 Medical Plaza Dr, North Charleston, SC 29406 Phone: 843-847-3225 |