SUDHARANI BANGALORE NANJAIAH

SUMTER, SC
NPI1932376472
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: SC  81670)
Additional Taxonomies207Q00000X Family Medicine
(Licence: PA  MD434991)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2008-05-14
Last Update Date2019-03-18
Business Address
Ms. SUDHARANI BANGALORE NANJAIAH MD
115 N SUMTER ST STE 400
SUMTER, SC 29150
Phone number: 803-774-7425
Mailing Address
Ms. SUDHARANI BANGALORE NANJAIAH MD
PO BOX 743904
ATLANTA, GA 30374-3904
Phone number: 038-296-7320