Raguram, Parthassarathy Chetlur
Raguram, Parthassarathy Chetlur is an individual health care provider with primary practice located at 10 Memorial Medical Dr , Greenville SC 29605-4450. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Raguram, Parthassarathy Chetlur can be contacted via phone (864) 220-1200.Contact Information
Primary practice address
10 Memorial Medical Dr
Greenville SC 29605-4450
Phone: (864) 220-1200
Fax: (864) 220-1888
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD00046042 | Washington |
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | MD22973 | Oregon |
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | MD00046042 | Washington |
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 35551 | South Carolina |
Profile Details
| NPI number | 1629056460 |
|---|---|
| LBN Legal business name | Raguram, Parthassarathy Chetlur |
| Credentials | MD,MRCPI,FASN |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 3rd, 2006 |
| Last updated | Jun 28th, 2024 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629056460 | NPPES |
| Oregon | MEDICAID | 287621 | |
| Oregon | MEDICAID | 355519 | |
| Oregon | MEDICAID | 8288912 |
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