# SHYAM YALLAPRAGADA MD, F.C.C.P.,P.A.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780866046
- **Authorized official:** DR. SHYAM YALLAPRAGADA MD (OWNER)
- **Authorized official phone:** (843) 572-4774

## Contact information

- **Practice address:** 2811 TRICOM ST, NORTH CHARLESTON, SC 29406-9172
- **Practice address phone:** (843) 572-4774
- **Practice address fax:** (843) 572-2508
- **Mailing address:** 2811 TRICOM ST, NORTH CHARLESTON, SC 29406-9172
- **Mailing address phone:** (843) 572-4774
- **Mailing address fax:** (843) 572-2508

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RP1001X | Pulmonary Disease Physician | 9767 | SC | Yes |

## Other

- **Enumeration date:** 11/28/2007
- **Last updated:** 11/30/2007