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1790125615
MALLIKARJUNA BAGEWADI ELLUR
GREENWOOD, SC
NPI
1790125615
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: SC 90953)
Enumeration Date
2013-06-25
Last Update Date
2024-07-26
Business Address
Dr. MALLIKARJUNA BAGEWADI ELLUR M.D.,
1325 SPRING ST
GREENWOOD, SC 29646-3860
Phone number: 864-725-4398
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Mailing Address
Dr. MALLIKARJUNA BAGEWADI ELLUR M.D.,
104 WELLS AVE
GREENWOOD, SC 29646-3837
Phone number: 864-725-4673
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