MD Sudha Garimella, NPI 1558325407
Pediatric Nephrology Physician in Greenville, SC, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1558325407
NPI Entity Type Individual
Provider Name MD Sudha Garimella
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 200 Patewood Dr, Suite A115, Greenville, SC, US
Provider Mailing Address 1 Independence Pt, Suite 212, Greenville, SC, US, 296154545
Is Sole Proprietor? No
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Primary Taxonomy

Taxonomy Code

2080P0210X

Taxonomy Name Pediatric Nephrology Physician
Classification

Pediatrics

Group

Allopathic & Osteopathic Physicians

License No. 40282
License State SC
Description A pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy.

Business Address

MD Sudha Garimella
200 Patewood Dr
Suite A115

Greenville, SC, US

Phone: 864-454-5105
Fax: 864-241-9200

Mailing Address

MD Sudha Garimella
1 Independence Pt
Suite 212
Greenville, SC, US
ZIP 296154545
Phone: 864-797-6306

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

208000000X

Allopathic & Osteopathic Physicians

Pediatrics

002489 NY No

2080P0210X

Allopathic & Osteopathic Physicians

Pediatrics

002489 NY No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
060321000050 FIDELIS 01
000528365002 BC/BS 01
000528365001 BC/BS 01
02722645 NY MEDICAID 05
00027438501 UNIVERA 01
1213131 IHA 01

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