| Krishna Kumar Pudi Md Pa | |
|
110a Hospital Dr Simpsonville SC 29681-3226 | |
| (864) 963-9090 | |
| (864) 962-0610 |
| Full Name | Krishna Kumar Pudi Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 110a Hospital Dr, Simpsonville, South Carolina |
| Authorized Official Name and Position | Lou Jessup (INSURANCE PROCESSOR) |
| Authorized Official Contact | 8649639090 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Krishna Kumar Pudi Md Pa 110a Hospital Dr Simpsonville SC 29681-3226 Ph: (864) 963-9090 | Krishna Kumar Pudi Md Pa 110a Hospital Dr Simpsonville SC 29681-3226 Ph: (864) 963-9090 |
| NPI Number | 1760609853 |
|---|---|
| Provider Enumeration Date | 04/19/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760609853 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 19077 (South Carolina) | Primary |
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