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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 10 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 1558325407 NPPES
Other 060321000050 FIDELIS
Other 000528365002 FIDELIS
Other 000528365001 FIDELIS
MEDICAID 02722645 FIDELIS
Other 00027438501 FIDELIS
Other 1213131 FIDELIS

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